• Annals of Surgical Treatment and Research
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• 제95권6호
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• pp.340-344
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• 2018

Purpose: Traumatic lumbar hernia is rare, thus making diagnosis and proper treatment challenging. Accordingly, we aimed to investigate the clinical manifestations and proper management strategies of traumatic lumbar hernias. Methods: The medical records of patients with traumatic lumbar hernia treated at Gachon University Gil Hospital from March 2006 to February 2015, were retrospectively reviewed. Results: We included 5 men and 4 women (mean age, 55 years; range, 23-71 years). In 8 patients, most injuries were caused by motor vehicle collisions, including those wherein a pedestrian was struck (5 cases of car accidents, 2 falls, and 1 involving penetrating materials); in 1 patient, the probable cause was severe cough. Eight patients underwent hernia repair surgery (5 open and 3 laparoscopic), and a prosthetic mesh was used in 7 patients. Hernia repairs were elective in 7 patients; emergency hernia repair was performed with right hemicolectomy in 1 patient. No severe complication or recurrence was observed. Only 2 patients had mild complications, such as postoperative seroma. Conclusion: Traumatic lumbar hernia is a relatively rare injury of the posteriolateral abdominal wall. Lumbar hernia should be suspected in patients with high-energy injuries of the torso, and all such patients should undergo abdominopelvic computed tomography. After diagnosis, hernia repair can be electively performed without complications in most cases.

• 자동차안전학회지
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• 제5권2호
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• pp.39-44
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• 2013

Motor vehicle crashes are the leading cause (70%) of children injury and fatality. 98% of Children under the age of 9 who came to emergency room with a traffic accident are not seated in CRS. Reduction in mortality when using CRS (NHTSA study), 71% for infants of 1-2 years old, 54% for 3-6 years old and 7-12 years old. It is very important and essential to use CRS for child passenger safety. But in Korean market, the CRS fitment rate is relatively low (20~40%). For European market, at the start of 2013, Euro NCAP started to check how easy it is to install the most common seats. And US market, NHTSA is planning a new consumer information program of CRS fitment for near future. This study examines CRS installation performance of 3 vehicles which are produced by GM Korea and 21 CRS which are based on sales volume in Korean market. Purpose of this study is to identify both vehicle and CRS design that causes bad interaction for CRS installation.

• Journal of Radiation Protection and Research
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• 제48권2호
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• pp.59-67
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• 2023

Background: This study aims to reevaluate natural radiation exposure, following up on our previous study conducted in 2019, and to assess the associated risk of lung cancer to the public residing in the gold mining areas of Betare-Oya, east Cameroon, and its vicinity. Materials and Methods: Gamma-ray spectra collected using a 7.62 cm×7.62 cm in NaI(Tl) scintillation spectrometer during a car-borne survey, in situ measurements and laboratory measurements performed in previous studies were used to determine the outdoor absorbed dose rate in air to evaluate the annual external dose inhaled by the public. For determining internal exposure, radon gas concentrations were measured and used to estimate the inhalation dose while considering the inhalation of radon and its decay products. Results and Discussion: The mean value of the laboratory-measured outdoor gamma dose rate was 47 nGy/hr, which agrees with our previous results (44 nGy/hr) recorded through direct measurements (in situ and car-borne survey). The resulting annual external dose (0.29±0.09 mSv/yr) obtained is similar to that of the previous study (0.33±0.03 mSv/yr). The total inhalation dose resulting from radon isotopes and their decay products ranged between 1.96 and 9.63 mSv/yr with an arithmetic mean of 3.95±1.65 mSv/yr. The resulting excess lung cancer risk was estimated; it ranged from 62 to 216 excess deaths per million persons per year (MPY), 81 to 243 excess deaths per MPY, or 135 excess deaths per MPY, based on whether risk factors reported by the U.S. Environmental Protection Agency, United Nations Scientific Committee on the effects of Atomic Radiation, or International Commission on Radiological Protection were used, respectively. These values are more than double the world average values reported by the same agencies. Conclusion: There is an elevated level of risk of lung cancer from indoor radon in locations close to the Betare-Oya gold mining region in east Cameroon. Therefore, educating the public on the harmful effects of radon exposure and considering some remedial actions for protection against radon and its progenies is necessary.

• 디지털융복합연구
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• 제13권1호
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• pp.407-414
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• 2015

이 연구는 순사망환자의 주진단에 관한 특성에 대해 분석하여 병원 의료의 질 수준 향상을 위한 기초자료로 활용하고자 시행하였다. 대전광역시 소재 K 대학병원에서 2011년, 2012년, 2013년 3년 동안 사망한 환자 1992명 중 순사망한 428명을 조사대상으로 선정하였으며, 분석방법으로는 카이제곱검정 및 fisher의 정확한 검정과 정준상관분석을 사용하였다. 분석한 결과, 일반적 특성과 주진단 상위 4위의 정준상관분석 결과, 주진단 중 상세불명 병원체의 폐렴(J18)과 살충제의 독작용(T60)에서 유의한 것으로 나타났다. 상세불명 병원체의 폐렴(J18)에서는 자동차보험, 15-29세 사이, 건강보험, 의료급여 등의 순으로 나타났으며(p<0.001), 살충제의 독작용(T60)에서는 건강보험, 의료급여, 자동차보험, 45-59세, 세종충남 등의 순으로 유의하게 나타났다(p<0.05). 결론적으로 노인인구의 사망을 감소시키기 위해 의료서비스의 질적 향상과 응급의료전달의 체계적인 구축시켜 순사망환자를 감소시켜나가는 것이 매우 중요하다고 할 수 있다.

• Journal of Trauma and Injury
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• 제35권3호
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• pp.195-201
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• 2022

Purpose: The objective of this study was to determine the effects of coronavirus disease 2019 (COVID-19) on the volume of trauma patients, the number of orthopedic trauma operations, and the severity of injuries. We also investigated the correlations between social distancing and these variables. Methods: This was a retrospective review of trauma patient cases at a single focused training center for trauma in Korea from January 2017 to April 2021. The COVID-19 group included patients treated from January 1 to April 30 in 2020 and 2021, and the control group included patients treated during the same months from 2017 to 2019. The volume of trauma patients according to the level of social distancing was evaluated among patients treated from August 2, 2020 to November 23, 2020. Results: The study included 3,032 patients who presented to the emergency department with traumatic injuries from January to April 2017 to 2021. The average number of patients was 646.7 and 546.0 in the control and COVID-19 groups, respectively. The percentage of patients injured in traffic accidents (TAs) decreased from 25.0% to 18.2% (P<0.0001). The proportions of in-car TAs and pedestrian TAs also decreased from 6.7% and 10.8% to 3.5% and 6.0%, respectively (P=0.0002 and P<0.0001). The percentage of bicycle TAs increased from 2.4% to 4.0% (P=0.0128). The proportion of patients with an Injury Severity Score above 15 and the mortality rate did not change significantly. As the level of social distancing increased, the number of trauma patients and the number of trauma injuries from TAs decreased. The number of orthopedic trauma operations also depended on the social distancing level. Conclusions: The number of trauma patients presenting to the emergency department decreased during the COVID-19 period. The volume of trauma patients and orthopedic trauma operations decreased as the social distance level increased.

• 한국산학기술학회논문지
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• 제21권3호
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• pp.57-64
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• 2020

첨단 운전자 보조시스템(ADAS, Advanced Driver Assist System)의 주요 기술에는 적응형 순항 제어(ACC, Advanced Cruise Control), 주행 조향보조 시스템(LKAS, Lane Keeping Assist System), 자동 긴급제동 시스템(AEB, Autonomous Emergency Braking) 등이 있다. ADAS 중 LKAS는 카메라(camera)와 적외선 센서(sensor)를 사용하여 운전자가 의도하지 않은 차선이탈이 발생하였을 때, 조향 보조장치를 제어하여 주행 차선으로 복귀하는 시스템이다. 이러한 시스템의 안전성 평가와 검증을 위해 실차시험을 진행한다. 그러나 LKAS 동작 후 임의의 추가 조향각이 인가될 경우에 대한 연구는 미흡하다. 본 논문에서는 선행연구에서 제안한 시나리오에 대해 Prescan을 이용하여 추가 조향각 인가 모델링(modeling)기법을 개발하고 시뮬레이션(simulation) 하고, 실차시험을 통해 취득한 데이터(data)와의 비교분석으로 모델링 기법의 타당성을 검증하였다. 앞바퀴부터 차선까지 최대 거리오차는 0.56 m이며, 시뮬레이션과 실차시험의 차선 복귀 속도의 차이로 인해 발생하였다. 시뮬레이션과 달리 실차시험은 주행 차선으로 복귀 속도가 느려 이탈하는 차의 횡방향 변화가 상대적으로 적어 시뮬레이션과 오차가 발생한 것으로 판단된다. 시뮬레이션과 실차시험 값의 비교분석 결과 차선복귀 속도 차이는 있지만 앞바퀴부터 차선까지 거리가 약 0.5m로 수렴하는 경향성을 나타내어 신뢰성을 확인할 수 있었다.

• 한국정보통신학회:학술대회논문집
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• 한국해양정보통신학회 2006년도 춘계종합학술대회
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• pp.1023-1026
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• 2006

가정이나 병원 등 해상에서 위급한 환자를 모니터링 할 때 현재의 심전도 측정기의 전극센서가 불편할 경우가 많다. 구급차량 내에서나 선박에서 환자를 측정시 흔들림이 심하기 때문에 전극이 떨어져 측정이 쉽지가 않으며 또 환자의 몸에 지방분이나 습기가 많을 경우를 쉽게 붙어있지 않아 측정이 더욱 힘들어진다. 본 연구에서는 환자가 언제든지 전극을 붙이고 화장실이나 외출까지도 자유롭게 할 수가 있도록 하였으며 또 흉부에 쉽게 착용이 용이하도록 부드러운 벤드 형태로 설계되었다. 심전도의 전극소재로는 전기저항특성이 우수하고 피부 트러블이 거의 없는 금을 소재로 한 제품을 적용하였으며 광전용적맥파 및 말초체온 등을 추가로 설계하여 다중생체신호를 모니터링 할 수 있도록 구현하였다. 본 실험에서는 가승이나 늑골부위에서는 생체신호전달이 좋았으며, 환자의 복부부위에서는 생체신호가 아주 작게 검출되었다. 전극소재로 금 전극을 사용하여 일반적인 전극을 이용할 때 보다 신호 검출이 우수하다는 결과를 얻었으며. 일반적인 전극은 단순1회용으로 끝나지만 금 전극센서는 반영구적이면서도 환자가 이동시 접촉력이 우수하여 보다 정확한 데이터를 얻을 수가 있었다.

• 자동차안전학회지
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• 제8권3호
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• pp.10-15
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• 2016

The purpose of this study is to evaluate the injury mechanism of facial injury related to an air-bag's deployment in occupant motor vehicle accident (MVA) by using Hospital Information System (HIS) and reconstruction program, based on the materials related to motor vehicle accidents. Among patients who visited the emergency department of Wonju Severance Christian Hospital due to motor vehicle accidents from August 2012 to February 2014, we collected data on patients with agreement for taking the damaged vehicle's photos. After obtaining the verbal consent from the patient, we asked about the cause of the accident, information on vehicle involved in the accident, and the location of car repair shop. The photos of the damaged vehicle were taken on the basis of front, rear, left side and right side. Damage to the vehicle was presented using the CDC code by analytical study of photo-images of the damaged vehicle, and a trauma score was used for medical examination of the severity of the patient's injury. Among the 309 patients with agreement for an investigation, thirty five (11.3 %) were the severe who had ISS over 15. And also, sixteen (5.2%) derived from the reconstructed data (maximum collision energy, maximum acceleration, delta V) by PC-Crash. As a result, ISS including the facial injuries was affected by the condition. It was high when the number of crash extent, the safety belt was not fastened, and the seating position of occupant and the direction of collision is same. For accurate analysis of the relationship between occupant injury and vehicle damage in MVAs, build-up of an in-depth database through carrying out various policies for motor vehicle accidents is necessary for sure.

• 한국항해항만학회:학술대회논문집
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• 한국항해항만학회 2006년도 International Symposium on GPS/GNSS Vol.1
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• pp.241-246
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• 2006

The paper presents the preparations work and experiences gained from realtime GPS car monitoring during the European Rally Championships organized on 10-12 June 2005 in Poland. The developed system is based on GPS and GSM/GPRS technology. Distribution and teletransmission of data are possible using different GSM operators in Poland, which makes the system fully independent. The system's server collects data from rally cars, processing and send data through VPN connections to the SQL server located in main control room. Data can be collected in real time via Internet or GPRS. Some information on GSM/GPRS range during rally championships are also presented in the paper. The study covered many trials and tests of different software and various configurations of the GPRS modems before finally the system started to work. Information coming from 10 Rally Cars were collected to the SQL Server continuously in one second interval. In real time mode these all data were displayed simultaneously in the rally main control room and in the rally press conference room. Paper describes also adopted emergency procedures and remote reconfiguration of GPS/GPRS boxes inside rally cars made during championships. Some problems and method of practical solutions are presented to avoid active jamming dangerous for a driver and his pilot, having system of communication intercoms jammed by teletransmission of GPRS 900/1800 MHz. In cooperation with rally teams special GPS/GPRS safety boxes were designed and made. Monitoring of all 7 rally stages with GPS receivers and method of calibrations of the maps were presented. GSM signal coverage was also checked in all stages. All data transmitted from rally cars were recorded in the computer. Some of our GPS cars had accidents and dispite them information were continuously sent to server. There is possibility to show in post mission mode the position of chosen cars in our rally application. Some information of best rally cars are presented also in the paper.

• 한국정보통신학회:학술대회논문집
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• 한국정보통신학회 2014년도 춘계학술대회
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• pp.475-478
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• 2014

본 논문은 건설 현장을 출입하는 작업자나 공사차량의 위치추적 및 인식 기법에 관한 것으로, 건설 현장에서 이동체의 위치추적은 안전사고 예방, 사고시 긴급 구난 등의 목적과 함께 불법 차량이 현장을 출입하면서 발생하는 자재 도난 및 사고를 방지하기 위함이다. 이를 실현하기 위해 정보통신기술(IT)을 현장에 접목시켜 건설 현장용 지원시스템을 구축하는 것은 매우 바람직한 융합 기술이다. 본 논문에서는 현장에 적합한 무선통신망을 이용해서 작업자 및 이동 차량의 연속적인 위치를 검출하는 기법을 제안 및 구현하였고, 가상 게이트웨이 구축 및 활용 기법을 제안하여 이동체의 건설 현장 진출입 여부를 판단하는데 활용하였다. 또한 다양한 현장 시험을 통해 제안된 기법들을 검증하였다.