• Journal of Korean Neurosurgical Society
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• 제56권6호
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• pp.531-533
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• 2014

We present a case of angiographically confirmed transection of the cisternal segment of the anterior choroidal artery (AChA) associated with a severe head trauma in a 15-year old boy. The initial brain computed tomography scan revealed a diffuse subarachnoid hemorrhage (SAH) and pneumocephalus with multiple skull fractures. Subsequent cerebral angiography clearly demonstrated a complete transection of the AChA at its origin with a massive extravasation of contrast medium as a jet trajectory creating a plume. We speculate that severe blunt traumatic force stretched and tore the left AChA between the internal carotid artery and the optic tract. In a simulation of the patient's brain using a fresh-frozen male cadaver, the AChA is shown to be vulnerable to stretching injury as the ipsilateral optic tract is retracted. We conclude that the arterial injury like an AChA rupture should be considered in the differential diagnosis of severe traumatic SAH.

• 대한기계학회논문집A
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• 제26권8호
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• pp.1577-1584
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• 2002

This paper develops a finite element model for studying the occupant behavior and injury cofficients of a large-sized cab-over type truck. Since it does not have a room to absorb collision energy and deformation in front of the passenger compartment the deformation is directly transmitted to the passenger compartment. Moreover, since its steering column is attached on the frame, severe deformation of the frame directly affects on the steering wheel's movement. Therefore, if the occupant behavior and injury coefficients analysis is performed using a finite element model developed based on a sled test, it is very difficult to expect acquiring satisfactory results. Thus, the finite element model developing in this paper is based on the frontal crash test in order to overcome the inherent problems of the sled test based model commonly used in the passenger car. The occupant behavior and injury coefficients analysis is performed using PAM-CRASH installed in super-computer SP2. In order to validate the reliability of the developed finite element model, a frontal crash test is carried out according to a test method used fur developing truck occupant's secondary safety system in european community and japan. That is, test vehicle's collision direction is vertical to the rigid barrier and collision velocity is 45kph. Thus, measured vehicle pulses at the lower parts of the left and right B-pilla., dummy chest and head deceleration profiles, HIC(head injury criterial) and CA(chest acceleration) values, and dummy behavior from the frontal crash test are compared to the analysis results to validate reliability of the developed model.

• 한국토양비료학회지
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• 제14권4호
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• pp.201-209
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• 1982

'80년도(年度)는 수도재배기간중(水稻栽培期間中) 이상저온(異常低溫)이 계속(繼續)되었으며 냉해피해(冷害被害)가 컸으므로 냉해(冷害)의 양상(樣相)과 정도(程度) 및 영양흡수(營養吸收)와의 관계(關係)를 조사(調査)한 결과(結果)는 다음과 같았다. 1. '80년도(年度) 벼의 냉해(冷害)는 수도생육(水稻生育) 후기(後期)에 계속(繼續)된 저온(低溫) 및 일조부족(日照不足)과 더불어 감수분열기(減數分裂期)에 있었던 생식생장(生殖生長) 한계온도(限界溫度) 이하(以下)의 저온(低溫)에 크게 영향(影響)을 받았기 때문인 것으로 사료(思料)된다. 2. 삼요소중(三要素中) 질소무시용구(窒素無施用區)에서 냉해피해(冷害被害)가 적었으며 질소시용량(窒素施用量)이 많을수록 냉해(冷害)가 심(甚)한 경향(傾向)이었고 삼요소(三要素) 균형시비(均衡施肥)으로 냉해(冷害)가 경감(輕減)되었다. 3. 냉해(冷害)는 통일계품종(統一系品種)이 일반계품종(一般系品種)보다 심(甚)한 경향(傾向)이었고 냉해(冷害)는 불임(不稔), 영화퇴화(穎花退化), 추수불량(抽穗不良) 및 양분흡수(養分吸收) 억제등(抑制等)으로 나타났다. 4. 저온하(低溫下)에서는 질소시용량(窒素施用量)이 많을수록 식물체내(植物體內) 규산함량(珪酸含量)이 유의성(有意性)있게 감소(減少)되었다. 5. 냉해조건하(冷害條件下)에서의 통일계품종(統一系品種)의 질소비료(窒素肥料) 시용적량(施用適量)은 13.6kg/10a으로서 예년(例年)보다 약(約) 10kg/10a 적었으며 수량(收量)도 크게 감소(減少)되었고 감소율(減少率)은 통일계품종(統一系品種)이 일반계품종(一般系品種)보다 심(甚)하였다.

• 한국소성가공학회:학술대회논문집
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• 한국소성가공학회 2008년도 춘계학술대회 논문집
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• pp.345-346
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• 2008

Most pedestrian-vehicle crashes involve frontal impacts, and the vehicle front structures are responsible for most pedestrian injuries. The vehicle bumper contacts the lower legs at first. The leading edge of the hood (bonnet) strikes the proximal upper leg and finally, the head and upper torso hit the top surface of the hood or windscreen. In essence, the pedestrian wraps around the front of the vehicle until pedestrian and vehicle are traveling at the same speed. Since the hood surface is made from sheet metal, it is a relatively compliant structure and does not pose a major risk for severe head trauma. However, serious head injury can occur when the head hits a region of the hood with stiff underlying structures such as engine components. The solution is to provide sufficient clearance between the hood and underlying structures for controlled deceleration of a pedestrian's head. However, considerations of aerodynamic design and styling can make it extremely difficult to alter a vehicle's front end geometry to provide more under-hood space. In this study, the safe hood will be developed by designing new conceptual inner panel in order to decrease the pedestrian's head injuries without changing hood outer geometry.

• 대한인간공학회지
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• 제15권1호
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• pp.69-78
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• 1996

Current fighter pilots, flying new generation aircrafts with high performance, are under severe stress during aerial combat maneuvering when they are exposed to high sustained +Gz(Head-to-foot) acceleration stress. Two major factor limiting performance during high sustaied +Gz acceleration stress are loss of vision-greyout or blackout, and loss of consciousness (LOC). These symptoms are believed to occur as a result of insuff- icient blood flow to the retina and the brain. This study was conducted to evaluate the effects of high sustained +Gz stress under different seat back angle. The results. obtained by the biodvanmic computer simulations using the ATB(articulated total body) model, are represented with respect to three variables, such as HIC(head injury criterion) value, average G, and maximum G. The results demonstrate that the seat back angle(over $30^{\circ}C$) had a significant effect to decrease +Gz stress on the head segment and had no significant effect on HIC.

• 대한불안의학회지
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• 제8권1호
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• pp.31-40
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• 2012

Objective : The purpose of this study was to analyze the correlation between symptom severity and neurocognitive factors in traumatic head injury patients. In addition, the effect of frontal lobe damage on these parameters was examined. Methods : We selected 18 patients who had brain damage for the moderate to severe traumatic brain injury (MSTBI) group, and 17 patients who met the diagnostic criteria for post-traumatic stress disorder (PTSD) without the finding of brain damage for the comparison group. For the evaluation of neurocognitive function, K-WAIS, Rey-Kim Memory Test, K-FENT, WCST, and MMPI-2 were used. Results : The results of the comparison (using the malingering scale) revealed that the values of PDS and PK, which express the severity of symptoms, and the values of the validity scale F, F (B), and F (P) were significantly higher in the overly-expressed group. F (B) in overly-expressed group and PK, Pt, and Sc in the properly-expressed group had significant correlation with the severity of symptoms. F (B), S, and Stroop error inhibition in PTSD, and PK, Pt, Sc, and MQ in MSTBI had significant correlation with the severity of symptoms. The results of the comparison based on the finding of frontal lobe damage revealed that PDS, EIQ, and MQ ware significantly higher in the group without brain damage. Conclusions : It was revealed that each neurocognitive factor was correlated with the severity of symptoms. There was a decrease in complaints or symptoms reported by the frontal lobe injury group, and this is believed to be due to degenerative change in the personality and emotional functioning of these patients following frontal lobe damage.

• Archives of Reconstructive Microsurgery
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• 제4권1호
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• pp.23-32
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• 1995

Severe upper and lower extremity trauma may result in soft tissue loss with exposed bone and the subsequence of risk of chronic osteomyelitis or malunion of fracture fragments. Such injuries present a major reconstructive problem. But Since the introduction of microsugical technique, free muscle and myocutaneous flaps were employed to provide coverage of severely injured defects. Since Tai and Hasegawa(1974) first reported a breast reconstruction using by rectus abdominis myocuraneous flap, the free rectus myocutaneous flap has been widely employed for breast reconstuction, head and neck reconstruction, and extremity reconstruction in these days. The authors present their successful experience with free rectus abdominis muscle and rectus abdominis myocutaneous flaps for upper and low extremity reconstruction. From Nov. 94, to May 95, Five cases of severely injured extremites due to trauma or contact burn were treated with free rectus abdominis muscle flap or free rectus abdominis myocutaneous flap. All flaps except 1 case were survived without severe complications. As free muscle or myocutaneous flap, the free rectus abdominis flap has the advantages of a reliable pedicle, easy dissection, and an acceptable donor site, so it seems logical to apply the free rectus abdominis flap to apply in upper and lower extremity reconstruction.

• 한국도로학회논문집
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• 제15권4호
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• pp.135-146
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• 2013

PURPOSES : This study aimed to analyze the impact the operation of pre-signals at 4-leg signalized intersections and present primary environmental factors of roads that need to be considered in the installation of pre-signals. METHODS : Shift of proportions safety effectiveness evaluation method which assesses shifts in proportions of target collision types to determine safety effectiveness was applied to analyze traffic crash by types. Also, Empirical Bayes before/after safety effectiveness evaluation method was adapted to analyze the impact pre-signal installation. Negative binomial regression was conducted to determine SPF(safety performance function). RESULTS : Pre-signals are effective in reducing the number of head on, right angle and sideswipe collisions and both the total number of personal injury crashes and severe crashes. Also, it is deemed that each factor used as an independent variable for the SPF model has strong correlation with the total number of personal injury crashes and severe crashes, and impacts general traffic crashes as a whole. CONCLUSIONS: This study suggests the following should be considered in pre-signal installation on intersections. 1) U-turns allowed in the front and rear 2) A high number of roads that connect to the intersection 3) Many right-turn traffic flows 4) Crosswalks installed in the front and rear 5) Insufficient left-turn lanes compared to left-turn traffic flows or no left-turn-only lane.

• Journal of Trauma and Injury
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• 제27권2호
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• pp.33-37
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• 2014

Central venous catheterization through a subclavian approach is indicated for some special purposes but it may cause many complications such as infection, bleeding, pneumothorax, thrombosis, air embolization, arrhythmia, myocardial perforation, and nerve injury. A case involving a mistaken central venous catheterization into the right vertebral artery through the subclavian artery is presented. A 33-year-old man who had deteriorated mentality after head injury underwent an emergency craniotomy for acute epidural hematomas on the right frontal and temporal convexities. His mentality improved rapidly, but he complained of continuous severe pain in the right posterior neck even though he had no previous symptom or past medical history of such pain. Three-dimensional cervical spine computed tomography (3D-CT) was performed first to rule out unconfirmed cervical injuries and it revealed a linear radiopaque material intrathoracically from the level of the 1st rib up to the level of C6 in the right vertebral foramen. An additional neck CT was performed, and the subclavian catheter was indwelling in the right vertebral artery through right subclavian artery. For the purpose of proper fluid infusion and central venous pressure monitoring, the subclavian vein catheterization had been performed in the operation room after general anesthesia induction before the craniotomy. Sufficient anatomical consideration and prudence is essential because inadvertent arterial cannulation at a non-compressible site is a highly risky iatrogenic complication of central venous line placement.

• Advances in pediatric surgery
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• 제3권1호
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• pp.32-40
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• 1997

A clinical review was done of 31 children with blunt liver injury who were admitted to the Department of Surgery, Kyungpook National University Hospital between 1981 and 1990. Seventeen of the 31 children required laparotomy(11 primary repairs, 4 lobectomies, 2 segmentectomies). There were two deaths after laparotomy, one due to associated severe head injury and another due to multiorgan failure. The remaining 14 children, who were hemodynamically stable after initial resuscitation and who did not have signs of other associated intraabdominal injuries, were managed by nonoperative treatment. Patients were observed in a pediatric intensive care unit for at least 48 hours with repeated abdominal clinical evaluations, laboratory studies, and monitoring of vital signs. The hospital courses in all cases were uneventful and there were no late complication. A follow-up computed tomography of 7 patients showed resolution of the injury in all. The authors believe that, for children with blunt liver injuries, nonoperative management is safe and appropriate if carried out under careful continuous surgical observation in a pediatric intensive care unit.