• Journal of Chest Surgery
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• 제46권2호
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• pp.130-134
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• 2013

Background: Rib fractures are the most common type of thoracic trauma and cause other complications. We explored the risk factors for pneumonia in patients with multiple rib fractures. Materials and Methods: Four hundred and eighteen patients who visited our hospital with multiple rib fractures between January 2002 and December 2008 were retrospectively reviewed. Chest X-rays and chest computed tomography were used to identify injury severity. Patients with only a single rib fracture or who were transferred to another hospital within 2 days were excluded. Results: There were 327 male patients (78%), and the median age was 53 years. The etiologies of the patients' trauma included traffic accidents in 164 cases (39%), falls in 78 cases (19%), slipping and falling in 90 (22%), pedestrian accidents in 30 (7%), industrial accidents in 41 (10%), and assault in 15 (4%). The median number of rib fractures was 4.8. Pulmonary complications including flail chest (2.3%), lung contusion (22%), hemothorax (62%), pneumothorax (31%), and hemopneumothorax (20%) occurred. Chest tubes were inserted into the thoracic cavity in 216 cases (52%), and the median duration of chest tube insertion was 10.26 days. The Injury Severity Score (ISS) and rib score had a median of 15.27 and 6.9, respectively. Pneumonia occurred in 18 cases (4.3%). Of the total cases, 33% of the cases were managed in the intensive care unit (ICU), and the median duration of stay in the ICU was 7.74 days. Antibiotics were administered in 399 patients (95%) for a median of 10.53 days. Antibiotics were used for more than 6 days in 284 patients (68%). The factors affecting pneumonia in patients with multiple rib fractures in multivariate analysis included age (p=0.004), ISS (p<0.001), and rib score (p=0.038). The use of antibiotics was not associated with the occurrence of pneumonia (p=0.28). In-hospital mortality was 5.3% (n=22). Conclusion: The factors affecting risk of pneumonia in patients with multiple rib fractures included age (p=0.004), ISS (p<0.001), and rib score (p=0.038). Elderly patients with multiple traumas have a high risk of pneumonia and should be treated accordingly.

• Geomechanics and Engineering
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• 제22권6호
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• pp.529-540
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• 2020

Water inrush is a major hazard for mining and excavation in deep coal seams or rock masses. It can be attributed to the coalescence of rock fractures in rock mass due to the interaction of fractures, hydraulic flow and stress field. One of the key technical challenges is to understand the course and mechanism of fluid flows in rock joint networks and fracture propagation and hence to take measures to prevent the formation of water inrush channels caused by possible rock fracturing. Several case observations of fluid flowing in rock joint networks and coupled fracture propagation in underground coal roadways are shown in this paper. A number of numerical simulations were done using the recently developed flow coupling function in FRACOD which simulates explicitly the fracture initiation and propagation process. The study has demonstrated that the shortest path between the inlet and outlet in joint networks will become a larger fluid flow channel and those fractures nearest to the water source and the working faces become the main channel of water inrush. The fractures deeper into the rib are mostly caused by shearing, and slipping fractures coalesce with the joint, which connects the water source and eventually forming a water inrush channel.

• 한국생활과학회지
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• 제18권5호
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• pp.1093-1101
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• 2009

To provide basic data to manufacture superior brassieres, we performed a survey on the wearing and buying habits, and preference of functions and materials of brassieres for 189 women subjects in their twenties. The results of this research are as follows; Style and size are the most important in purchasing brassieres. Flat breasted and sagging breasted subjects were dissatisfied in the fit of the upper cup. 70% of the subjects were ignorant of their brassiere size. Sagging breasted subjects were less satisfied with smoothness, softness, and weight when wearing their bras in comparison with the other types. Conical type breasts were common amongst women in their 20s. They are more likely to wear size 75A and 80A where the full bust girth is 10cm larger than the under-bust. They preferred demi cup brassieres with thin or moderate padding to full cup brassieres with thick padding. On the other hand, 56.8% of subjects wore brassieres all day. The subjects were dissatisfied with the slipping down of the shoulder straps. Large-breasted subjects were concerned more with dampness and the fit on the center front of the brassiere, and brassieres with too thick padding had a poor fit on the center front. Sports-brassieres which fit close to the skin and used stretchable fabric caused more itching and dampness and dissatisfaction in removal of the brassiere.

• Journal of Korean Neurosurgical Society
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• 제58권6호
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• pp.571-577
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• 2015

Direct removal of beak-type ossification of posterior longitudinal ligament at thoracic spine (T-OPLL) is a challenging surgical technique due to the potential risk of neural injury. Slipping off the cutting surface of a high-speed drill may result in entrapment in neural structures, leading to serious complications. Removal of T-OPLL with an ultrasonic osteotome, utilizing back and forth micro-motion of a blade rather than rotatory-motion of drill, may reduce such complications. We have applied the ultrasonic osteotome for posterior circumferential decompression of T-OPLL for three consecutive patients with beak-type OPLL and have described the surgical techniques and patient outcomes. The preoperative chief complaint was gait disturbance in all patients. Japanese orthopedic association scores (JOA) was used for functional assessment. Scores measured 2/11, 5/11, 2/11, and 4/11 for each patient. The ventral T-OPLL mass was exposed after posterior midline approach, laminotomy and transeversectomy. The T-OPLL mass was directly removed with an ultrasonic osteotome and instrumented segmental fixation was performed. The surgeries were uneventful. Detailed surgical techniques were presented. Gait disturbance was improved in all patients. Dural tear occurred in one patient without squeal. Postoperative JOA was 6/11, 10/11, 8/11, and 8/11 (recovery rate; 44%, 83%, 67%, and 43%) respectively at 18, 18, 10, and 1 months postoperative. T-OPLL was completely removed in all patients as confirmed with computed tomography scan. We hope that surgical difficulties in direct removal of T-OPLL might be reduced by utilizing ultrasonic osteotome.

• 대한인간공학회지
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• 제35권1호
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• pp.1-10
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• 2016

Objective: This study aimed to find good design for summer functional farm shoes under the agricultural environment and working characteristics, which can help safe farm work and further promote the efficiency of working. Background: Most accidents at farms were overturn accidents caused by slipping or falling, and it was found that the main factors which caused the overturn accidents were inappropriate work shoes for the working conditions. These inappropriate work shoes often cause overturn accidents in the rural areas with steep paths. Method: A survey on work shoes was conducted with 174 farmers, and the outcome of this survey was used to find problems of work shoes and improvement ideas for the design of work shoes which can be used at farms. Results: Regarding the form of farm shoes, the ankle height was set at 6 inches to prevent the bending of the ankle and the inflow of foreign substances. The size and groove of the pattern of the outsole were extended to prevent catching of foreign substances. In the upper part, polyurethane and cordura were used in combination to secure air permeability, which was pointed out as the reason for the discomfort during the work wearing existing work shoes. Conclusion: Since farmers felt discomfort with the shoes which they were currently wearing, this study suggested a design of farm shoes by analyzing the important matters of the work shoes in development in order to improve such discomfort. Application: This study can help develop farm shoes that would practically ease farmers' burden of working at farm worksites and keep them safe.

• Composites Research
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• 제25권6호
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• pp.205-210
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• 2012

전기저항 측정법을 이용하여 단일 탄소섬유의 인장 실험을 실시하였다. 탄소섬유의 전도성을 이용하여 인장하중에 따른 신율과 전기저항 변화도간의 관계를 연구하였다. 섬유 인장 과정동안에 일정 신율 거리상 응력과 전기저항 변화율간의 상관관계를 통계적으로 정리하였다. 결과에 대해 추세선을 그어 섬유의 변형에 따른 거동 모델을 구성하였다. 프레그먼테이션 시편을 이용하여 인장 실험에 따른 인장 응력이 재료 내부로 전달되면서, 시편 내부 탄소섬유에도 인장 응력이 가해져 기지보다 섬유가 먼저 파괴되었다. 이 경우 탄소섬유의 전기저항 변화도를 측정한 결과 값을 탄소섬유의 거동 모델에 대입하여 프레그먼테이션 시편 내부에 있었던 탄소섬유의 거동을 분석할 수 있었다. 탄소섬유의 인장 신율을 예측하고 프레그먼테이션 시편의 실제 신율을 비교하여 섬유와 기지 사이에 발생된 섬유 미끌림 정도를 확인하였다. 섬유 미끌림 정도의 수치가 클 경우, 기지와 섬유 간 계면 상태가 약한 접합의 상태였다. 이러한 결과를 확인하기 위해서 접착일 평가법을 이용하였으며, 두 실험법의 결과, 동일한 경향임을 확인하였다.

• Journal of Preventive Medicine and Public Health
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• 제41권4호
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• pp.279-286
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• 2008

Objectives: This study was performed to provide the basic data for establishing countermeasures for preventing injury by analyzing the incidence rates, the risk factors, the characteristics of the injury and the utilization of medical care for mild injury that lasted for two weeks. Methods: We examined the injury survey data among the National Health and Nutrition Survey data. The definition of mild injury that lasted for two weeks was that the injury that caused pain at least once a day for two weeks or the injury for which the usual daily activity of the injured person was severely affected. We used statistical analysis methods such as chi-square test and multiple logistic regression analysis. Results: The incidence rate of injury that lasted for two weeks was 4.7 per 1,000 persons. On the multiple logistic regression, the children and adolescents (OR=3.80, 95%CI=1.63-8.84) had higher rates of injuries than the adults, and the middle and high school (OR=0.51, 95%CI=0.31-0.85) and college(OR=0.34, 95%CI=0.17-0.68) students had lower rates of injuries than the elementary school students. The unemployed (OR=0.39, 95%CI=0.20-0.73) and others (OR=0.38, 95%CI=0.21-0,70) had lower rates of injuries than the blue collar workers. The major causes of injuries were found to be falling and slipping, and the most prevalent place of occurrence was near or at home. Conclusions: A prevention program needs to be developed and continuous education must be offered to the children, adolescents and blue collar workers.

• 한국정밀공학회지
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• 제14권8호
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• pp.29-39
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• 1997

The clamp, as the structure which is used for supporting the pipe in the atomic power plant, is produced with a certain degree of anticlastic curvature in the current manufacturing process. In this study, the structural analysis of the clamp and the pipe was performed using ABAQUS. And the finite element modelling for the analysis was made by an HyperMesh. The contact forces which are transferred between the clamp and the pipe for the external force are changed according to the binding force of bolts and keeps the clamp tightly and protects the slipping between the clamp and the pipe. The clamps with the anticlastic curvature and with the flat curvature are considered in order to invest the anticlastic effect. In this study, another case is suggested. The present case does not have the stiffness ring on the end of the clamp but the suggested case has the ring. For the present case, the results showed that the equivalent stress is higher in the anticlastic curvature case than in the flat curvature case and the equivalent stresses on the pipe are almost the same as the binding force increses. For the suggested case, the result showed that the equivalent stress in the anticlastic curvature case decreases until some binding force and increases as the binding forces increase and is lower in some range than in the flat curvature case. From this study, the clamp with the anticlastic curvature in the suggested method is better than the clamp with the flat curvature and the optimal binding force are given.

• 수산해양기술연구
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• 제56권4호
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• pp.340-346
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• 2020

In this study, the risk factors of coastal purse seine fisherman were analyzed through a survey of fishery workers of coastal purse seine fishery and the accident compensation insurance data of the fisheries workers of the National Federation of Fisheries Cooperatives (NFFC). The classified fishing operation accident data was analyzed through 4M (Man, Machine, Media, Management) model of the National Transportation Safety Board (NTSB) and the accident prevention measures were presented using Harvey's 3E (Engineering, Education, Enforcement) model. The rate of accidents on coastal purse seinens each year was 75.8‰, 36.7‰ and 74.8‰ from 2015 to 2017. The accident frequency resulting from slipping was the highest, and the risk of a contact with gear was low. When comparing each insurance data, the average value of the contact with gear accident was the highest. This research result is expected to be important data in identifying and preventing safety hazards of coastal purse seiner fisherman in the future.

• 대한토목학회논문집
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• 제32권5C호
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• pp.221-229
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• 2012

NATM터널의 안정성 확보를 위해 지반조건이 불량한 경우 숏크리트에 격자지보나 H형강 등의 강지보를 보강하는 경우가 많다. 그러나 설계 시 강지보를 숏크리트가 경화되기 전 임시지보재로 간주하여 수치해석 시 고려하지 않는 것이 일반적이며, 수치해석에 고려하더라도 모델링 방법이 다양하다. 본 연구에서는 휨강도실험, 압축강도실험, 그리고 실대형실험을 통하여 강지보와 숏크리트 합성부재의 거동과 하중 부담률을 분석하였다. 또한 실험과 같은 조건에서 숏크리트와 강지보의 고려방법을 달리하여 수치해석을 실시하여 실험결과와 비교분석하였다. 연구결과 숏크리트와 강지보는 경계면에서의 미끄러짐(slip)으로 인하여 일체로 거동하지 않으며, 수치해석 시 휨모멘트는 강지보가 모두 부담하고 축력은 숏크리트와 강지보가 압축강성비에 따라 분담하는 것으로 고려하는 것이 적절한 것으로 평가되었다.