• The Journal of the Acoustical Society of Korea
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• v.43 no.1
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• pp.39-48
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• 2024

A car horn serves a crucial safety role as a means of communication between drivers and a part that alerts pedestrians in advance. While previous studies have utilized finite element method and electric circuit model to simulate and analyze characteristics of the car horns, there remains a lack of research on design methods of a trumpet horn. This paper presents a design approach that predicts the operating frequency based on the acoustic reactance at the throat of the horn, once the vibrating part is determined. We deal with a horn combining both an exponential horn and a waveguide in the acoustic section, and confirm that the acoustic reactance at the horn throat measured by impedance tube experiment agrees well compared with the numerical result obtained using the finite element method. The resonance frequency of the car horn is predicted using the COMSOL Multiphysics finite element numerical analysis model, and the proposed design method is validated by measuring the operating frequency of the designed horn in a sound pressure experiment. As a result, the resonance measured in a semi-anechoic chamber environment by applying a DC voltage of 12 [V] excluding the holder occurs accurately within a few [Hz] of the design operating frequency. This paper discuss the design method of a trumpet horn from the perspective of the horn's acoustic reactance, and is expected to be useful for designing horn systems.

• Journal of the Society of Disaster Information
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• v.20 no.1
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• pp.232-243
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• 2024

Purpose: Recently, large-scale forest fires caused by climate change, natural disasters, and human factors have been increasing every year in the East Coast and Taebaek Mountains region. Although forest fire extinguishing using helicopters is currently increasing, the need to introduce air force transport aircraft has continued to be raised due to the importance of early fire extinguishment to respond to large forest fires and the difficulty of extinguishing forest fires between sheep. This study seeks to present a plan for developing a post-fire management system for several aspects - achieving operational objectives, overcoming the operating environment, selecting a staging area, and efficient operation measures - to efficiently perform forest fire extinguishing missions using Air Force transport aircraft. Method: Based on literature research on forest fire extinguishing, forest fire extinguishing experiments using fixed-wing aircraft, and the operation status and operation method of forest fire extinguishing helicopters, the pros and cons of helicopter operation and the effects of large forest fire extinguishing using a large transport aircraft (C-130) Analyze the effectiveness of operation through analysis. Results: When extinguishing a large forest fire, an effective CM (Consequence Management) application plan was derived, including effective operation, control, command system, dispatch request, and forest fire extinguishment when integrating helicopter and fixed-wing aircraft (C-130). Conclusion: The application of the concept of CM (Consequence Management) is partially applied to some areas of chemical, biological, and radiological (CBRNE) protection in Korea, but efficient operation, control, and command systems are established when integrated operation of helicopters and large aircraft (C-130) in forest fire extinguishment. the concept of CM (Consequence Management), which is operated in advanced countries, was applied for safety management, dispatch requests, and forest fire extinguishing, thereby contributing to the establishment of a more advanced disaster and post-disaster management system.

• Journal of Trauma and Injury
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• v.37 no.1
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• pp.28-36
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• 2024

Purpose: Recent advancements in interventional radiology have made angioembolization an invaluable modality in trauma care. Angioembolization is typically performed by interventional radiologists. In this study, we aimed to investigate the safety and efficacy of emergency angioembolization performed by trauma surgeons. Methods: We identified trauma patients who underwent emergency angiography due to significant trauma-related hemorrhage between January 2020 and June 2023 at Jeju Regional Trauma Center. Until May 2022, two dedicated interventional radiologists performed emergency angiography at our center. However, since June 2022, a trauma surgeon with a background and experience in vascular surgery has performed emergency angiography for trauma-related bleeding. The indications for trauma surgeon-performed angiography included significant hemorrhage from liver injury, pelvic injury, splenic injury, or kidney injury. We assessed the angiography results according to the operator of the initial angiographic procedure. The term "failure of the first angioembolization" was defined as rebleeding from any cause, encompassing patients who underwent either re-embolization due to rebleeding or surgery due to rebleeding. Results: No significant differences were found between the interventional radiologists and the trauma surgeon in terms of re-embolization due to rebleeding, surgery due to rebleeding, or the overall failure rate of the first angioembolization. Mortality and morbidity rates were also similar between the two groups. In a multivariable logistic regression analysis evaluating failure after the first angioembolization, pelvic embolization emerged as the sole significant risk factor (adjusted odds ratio, 3.29; 95% confidence interval, 1.05-10.33; P=0.041). Trauma surgeon-performed angioembolization was not deemed a significant risk factor in the multivariable logistic regression model. Conclusions: Trauma surgeons, when equipped with the necessary endovascular skills and experience, can safely perform angioembolization. To further improve quality control, an enhanced training curriculum for trauma surgeons is warranted.

• The Journal of Korean Medicine
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• v.44 no.4
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• pp.41-58
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• 2023

Objectives: This retrospective observational study aimed to investigate the efficacy and safety of Cheongpebaedok-tang, a traditional Korean herbal medicine, provided via telemedicine to patients with asymptomatic to mild COVID-19 in Korea. Methods: From February to April 2020, a retrospective analysis investigated COVID-19 patients treated via Korean telemedicine. The study involved asymptomatic to mild cases receiving Cheongpebaedok-tang more than three times, along with continuous Korean medicine care in convalescence. Diagnoses and treatment adhered to the telemedicine guidelines of the Association of Korean Medicine, with varied Cheongpebaedok-tang prescriptions based on symptom severity. Symptom evaluation involved a detailed assessment using a 15-item tool at initial and final sessions. Results: The study included 27 patients, with a mean age of 48.7 ± 2.3 years (mean ± standard error). Patients began self-administering oral Cheongpebaedok-tang for an average of 19.4 ± 1.8 days after the date of COVID-19 diagnosis confirmation and continued the medication for 15.8 ± 1.2 days. The reported side effects of the Cheongpebaedok-tang included palpitations (11.1%), insomnia (7.4%), dizziness (3.7%), and diarrhea (3.7%). All side effects disappeared after adjusting the prescription according to standard treatment guidelines. The occurrence of all COVID-19-related adverse symptoms, except fatigue and myalgia, decreased. Fatigue was the most common chronic symptom persisting after 6 months (51.9%), followed by ocular symptoms (37.0%) and sore throat (22.2%). Conclusions: This study implies Cheongpebaedok-tang may offer a potentially safe, symptom-alleviating approach for managing mild COVID-19 cases via telemedicine, although further comprehensive research is warranted.

• Journal of the Korean Society of Radiology
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• v.84 no.6
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• pp.1339-1349
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• 2023

Purpose To determine the efficacy and safety of iliac branch device (IBD) implantation and to evaluate its limitations based on 7 years of experience in a single center. Materials and Methods This single-center study included patients with bilateral common iliac artery aneurysms (CIAAs). We investigated follow-up CT and reviewed the internal iliac artery (IIA) patency and complications related to IBD. A retrospective analysis was performed and the overall survival rate and freedom from reintervention rate were reported according to the Kaplan-Meier method. Results Of the 38 patients with CIAAs, only 10 (12 CIAAs) were suitable for IBD treatment. Five patients underwent unilateral IBD insertion with contralateral IIA embolization, and three (60%) showed claudication; however, symptoms resolved within 6 months. The 7-year freedom from IBD-related reintervention rate was 77.8%. No procedure-related deaths occurred. Conclusion IBD has good technical success and long-term patency rates; however, anatomical factors frequently limit its application, particularly in Asians. Additionally, unilateral IIA embolization showed relatively mild complications and a good prognosis; therefore, it can be performed safely for anatomically complex aortoiliac aneurysms.

• Journal of Korean Medicine for Obesity Research
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• v.24 no.1
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• pp.94-101
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• 2024

Herbal medicine (HM)-containing Ephedra Sinica (ES) has been associated with false-positive amphetamine immunoassay (FP IA) results. This study retrospectively evaluated the effects of dose, duration, and withdrawal instructions on FP IA and the safety of HM-containing ES at a clinic in Seoul from 2022 to 2023. The study included 6 patients in the FP IA group and 5 patients in the withdrawal instruction negative (Neg) group. The pre-test ephedrine alkaloids dose in the FP IA group was 95.17±31.90 mg, compared with 88.6±20.43 mg in the Neg group. The FP IA group had taken HM for 226.67±152.87 days before testing, and testing was performed while taking HM. In contrast, the Neg group had taken HM for 147.6±23.49 days and had 5.4±1.50 days of withdrawal period before the test following instructions of Korean medicine doctors. All adverse events (AEs) were moderate in severity, and the number of occurrences was similar: 5 in the FP IA group and 7 in the Neg group. AEs included constipation, insomnia (3 cases each), and palpitations (2 cases). The results of this study show that ES-induced FP IA can be resolved with withdrawal instructions and ES can be safely prescribed and administered by Korean medicine doctors. Further studies are needed to determine how to prevent FP IA after taking ES.

• Conservation Science in Museum
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• v.31
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• pp.71-103
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• 2024

The National Museum of Korea Conservation science division conducted a precise diagnosis and a non-destructive investigation to comprehensively assess the overall damage of the Twin-lion stone lantern from the Godalsa Temple site, Yeoju to be placed on display in the museum's outdoor stone garden, then reviewed the relevant conservation and management plan and applied conservation treatment to the artifact. The museum carried out the treatment in the following order: precise diagnosis; dismantling of the previously-restored part of the roof stone; reinforcement and restoration of the roof structure with new stone; restoration of the previously-restored part of the lantern's support stone (jungseok); surface texture treatment to the restored area; cleaning (basic, laser); and color matching. The previously-restored part of the roof stone was removed and restored with new stone material, based on the results of a safety diagnosis regarding the separation at the said part. Granite from the Sangju area was selected as the material for the restoration in consideration of the results of mineral analysis as well as the surface color and particle size. The new stone was divided into three pieces based on the descending edges of the octagonal roof structure and joined together using epoxy resin. The structure was further strengthened by inserting titanium rods. It is expected that the status diagnosis and conservation treatment of the twin-lion stone lantern from the Godalsa Temple site in Yeoju will be used as a reference for the future conservation and management of outdoor displays of stone cultural heritage.

• The Journal of Internal Korean Medicine
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• v.45 no.3
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• pp.381-395
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• 2024

Objectives: The main purpose of this study is to investigate the clinical characteristics of patients complaining of indigestion after COVID-19 infection (CI) or COVID-19 vaccination (CV) and to confirm the effectiveness and safety of Korean medical treatment. Methods: We retrospectively collected and investigated the medical records of 39 patients admitted to the Kyung Hee University Korean Medicine Hospital with a chief complaint of dyspepsia from January 1, 2020 to February 29, 2024 who reported the onset or significant exacerbation of dyspepsia after CV or CI. Patients were divided into vaccination and infection groups, and their demographic characteristics, Ryodoraku results, presenting symptoms, traditional Korean medicine treatments, and treatment outcomes were analyzed. Results: When comparing the groups with dyspepsia after CV and after CI, it was observed that the CI group had significantly lower average body weight, and the measurements of LH6, LF1, and LF6 in the Ryodoraku test were significantly lower. Additionally, compared to the CV group, the CI group showed significantly more abdominal distension, nausea, and abdominal pain. Significant relief of upper gastrointestinal symptoms was observed in both the CV and CI groups after treatment. No adverse reactions were observed during the course of treatment. Conclusion: The CI group tended to complain more severely of various dyspeptic symptoms and had a tendency to lower body weight than the CV group, as was also reflected in the results of the Ryodoraku test. Korean medical treatment can be effective and safe in treating these patients.

• Journal of Radiation Industry
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• v.17 no.2
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• pp.151-160
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• 2023

The International Atomic Energy Agency (IAEA) proposes 11 industries that handle Naturally Occurring Radioactive Material (NORM) that are considered to need management. A water treatment facility is one of the above industries that takes in groundwater and produces drinking water through a water treatment process. Groundwater can accumulate natural radionuclides such as uranium and thorium in raw water by contacting rocks or soil containing natural radionuclides. Therefore, there is a possibility that workers in water treatment facilities will be exposed due to the accumulation of natural radionuclides in the water treatment process. The goal of this study is to evaluate the external radiation dose according to the working type of workers in water treatment facilities. In order to achieve the above goal, the study was conducted by dividing it into 1) analysis of the exposure environment, 2) measurement of the external radiation dose rate 3) evaluation of the external radiation dose. In the stage of analyzing the exposure environment, major processes that are expected to occur significantly were derived. In the measurement stage of the external radiation dose rate, a map of the external radiation dose rate was prepared by measuring the spatial radiation dose rate in major processes. Through this, detailed measurement points were selected considering the movement of workers. In the external radiation dose evaluation stage, the external radiation dose was evaluated based on the previously derived external radiation dose rate and working time. As a result of measuring the external radiation dose rate at the detailed points of water treatment facilities A to C, it was 1.90×10^-1 to 3.75×10⁰ μSv h^-1, and the external radiation dose was analyzed as 3.27×10^-3 to 9.85×10^-2 mSv y^-1. The maximum external radiation dose appeared during the disinfection and cleaning of activated carbon at facility B, and it is judged that natural radionuclides were concentrated in activated carbon. It was found that the external radiation dose of workers in the water treatment facility was less than 1mSv y^-1, which is about 10% of the dose limit for the public. As a result of this study, it was found that the radiological effect of external radiation dose of domestic water treatment facility workers was insignificant. The results are expected to contribute as background data to present optimized safety management measures for domestic NORM industries in the future.

• Korean Circulation Journal
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• v.54 no.6
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• pp.339-350
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• 2024

Background and Objectives: Ultimaster^TM, a third-generation sirolimus-eluting stent using biodegradable polymer, has been introduced to overcome long term adverse vascular events, such as restenosis or stent thrombosis. In the present study, we aimed to evaluate the 12-month clinical outcomes of Ultimaster^TM stents in Korean patients with coronary artery disease. Methods: This study is a multicenter, prospective, observational registry across 12 hospitals. To reflect real-world clinical evidence, non-selective subtypes of patients and lesions were included in this study. The study end point was target lesion failure (TLF) (the composite of cardiac death, target vessel myocardial infarction [MI], and target lesion revascularization [TLR]) at 12-month clinical follow up. Results: A total of 576 patients were enrolled between November 2016 and May 2021. Most of the patients were male (76.5%), with a mean age of 66.0±11.2 years. Among the included patients, 40.1% had diabetes mellitus (DM) and 67.9% had acute coronary syndrome (ACS). At 12 months, the incidence of TLF was 4.1%. The incidence of cardiac death was 1.5%, MI was 1.0%, TLR was 2.7%, and stent thrombosis was 0.6%. In subgroup analysis based on the presence of ACS, DM, hypertension, dyslipidemia, or bifurcation, there were no major differences in the incidence of the primary endpoint. Conclusions: The present registry shows that Ultimaster^TM stent is safe and effective for routine real-world clinical practice in non-selective Korean patients, having a low rate of adverse events at least up to 12 months.