• KSCE Journal of Civil and Environmental Engineering Research
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• v.35 no.2
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• pp.427-436
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• 2015

This study analyzes the factors effecting on pedestrian crossing behavior in the unsignalized intersection. Pedestrian crossing behavior is the results of mental stress defined as a combination of environment perception, avoiding accidents, halting collision, and instant crossing decision. It is necessary to make walkable intersection in cities through relieving this stress influenced by personality, traffic condition, and roadway environment. The purpose of study is empirically to examine the crossing behavior such as crossing satisfaction, crossing trial frequency and waiting time based on various factors effecting on crossing intersection by video and questionnaire survey. The $x^2$-test is applied to analyze the characteristics of crossing trial frequency according to each factor. Also, the hazard rate model is established to find the factors effecting on waiting time for crossing. Finally, the direct and indirect effects on the pedestrian crossing satisfaction are presented as the results of LISREL.

• Journal of Acupuncture Research
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• v.33 no.4
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• pp.73-92
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• 2016

Objectives : The purpose of this study is to understand the treatment process experiences of patients with whiplash associated disorder treated with Traditional Korean Medicine. Methods : This study was based on grounded theory. We recruited a total of 10 participants between the ages of 19 and 65, who were hospitalized at Kyung Hee University Korean Medicine Hospital and received treatment after traffic accidents from January to October 2014. Data was collected from in-depth interviews and notes, and was analyzed using open coding, axial coding and selective coding. Results : The core category of the phenomenon: 'The experiences of the treatment process for patients with whiplash associated disorder treated with Traditional Korean Medicine', was elicited as 'The selection of Traditional Korean Medicine treatment over other treatments for holistic healing that supplement for the deficiencies of Western medical treatment'. Conclusion :' The experiences of treatment process for patients with whiplash associated disorder treated with Traditional Korean Medicine', was elicited as 'The selection of the Traditional Korean Medicine treatment over other treatments for holistic healing that complements deficiency of the Western medical treatment'.

• The Journal of the Society of Korean Medicine Diagnostics
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• v.16 no.2
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• pp.47-58
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• 2012

Objectives : The purpose of the present study is to grasp and provide basic data necessary for the establishment of korean healthcare policies in future. Methods : A questionnaire developed by the author was distributed to 299 students of D University located in Busan and collected thereafter from March 5 to June 1, 2012. Statistical processing of the data obtained was conducted using the SPSS WIN IBM 20.0 program to indicate outcomes in frequencies and percentages. Results : The results of the survey are as follows. 1. The number of students who were mainly using korean hospitals/clinics was 6(2.0%). The most important factor in selecting korean medical institutions was 'medical technology'. 2. The treatment that was received the most frequently and the most reliable at korean medical institutions was acupuncture. The most frequent reason for taking korean medicine was 'prescriptions tailored to constitutions' and the most frequent reason for avoiding korean medicine was 'high prices'. 3. There was few number of students who knew that car insurance coverage for traffic accidents include treatment at korean clinics. and who knew about 'permitted standard herbal medicine', 'the use of disposable needles', 'wild ginseng pharmacopuncture'. 4. Among items necessary for the development of korean medicine, 'treatment technology with fast and high effects' was the most frequently selected. Conclusions : University students' preference for and perception of korean medicine were shown to be very low. It is considered that public relations should be reinforced to implant correct perception of korean medicine in university students who will be major users of hospitals and clinics.

• KSCE Journal of Civil and Environmental Engineering Research
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• v.38 no.2
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• pp.319-325
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• 2018

Pot-holes are steadily increasing due to abnormal climate such as heavy rainfall and frequent snowfall. Pot-hole related to traffic accidents cause injuries, car damage and distress of road facilities. To reduce pot-holes, the use of an anti-stripping agent is mandatorily recommended to asphalt concrete mixture. Hydrated lime is commonly used as anti-stripping agent due to the convenience and economics. Byproduct ash from circulating fluidized bed boiler was reviewed as an anti stripping agent. According to the test results, the byproduct ash is satisfied with TSR specification using 1% to 3% by weight of the asphalt mixture. The byproduct ash was examined under various condition changes of aggregate and asphalt concrete mixture considering quality movement. According to the results, using the byproduct ash was measured average 0.87 of TSR and coverage rates of 60% after rolling bottle test. Test results also revealed that the byproduct ash showed stable performance. Using the byproduct ash to decrease pot-hole in asphalt concrete pavement is suitable for demonstrating stable performance as anti-stripping agent.

• Archives of Plastic Surgery
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• v.47 no.3
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• pp.223-227
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• 2020

Background After the laws regulating emergency medicine were amended in 2012, regional trauma centers were established in South Korea. Plastic surgeons specialize in the simultaneous surgical care of patients with facial trauma, burns, and complicated wounds. The objective of this study was to evaluate the role of the plastic surgery department in treating severe trauma patients. Methods From January 2012 to December 2018, we enrolled 366 severe trauma patients with an Injury Severity Score (ISS) over 15 who received treatment by specialists in the plastic surgery department. Of these patients, 298 (81.4%) were male, and their mean age was 51.35 years (range, 6-91 years). The average ISS was 22.01 points (range, 16-75 points). Results The most common diagnosis was facial trauma (95.1%), and facial bone fracture (65.9%) was most common injury within this subgroup. Patients were referred to 1.8 departments on average, with the neurosurgery department accounting for a high proportion of collaborations (37.0%). The most common cause of trauma was traffic accidents (62.3%), and the average length of stay in the general ward and intensive care unit was 36.90 and 8.01 days, respectively. Most patients were discharged home (62.0%) without additional transfer or readmission. Conclusions Through this study, we scoped out the role of the specialty of plastic surgery in the multidisciplinary team at regional trauma centers. These results may have implications for trauma system planning.

• Journal of Trauma and Injury
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• v.22 no.1
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• pp.87-96
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• 2009

Purpose: Injuries are the most important cause of morbidity and mortality in the childhood population worldwide. Thus, this study was down to investigate the type and the severity of injuries according to the age group in childhood. Methods: A survey of injury information and a chart review were done on 378 children (257 boys, 121 girls) who visited the Emergency Departments of Asan Medical Center from March 1, 2009, to March 31, 2009. To determine differences in injury mechanism, accident place, injury site, New Injury Severity Score (NISS) and Pediatric Trauma Score (PTS), we divided the 378 patients into 4 group: under 1 year, 1 to 4 years, 5 to 9 years, and 10 to 15 years. Results: The mean (${\pm}SD$) age of the study group was 5.1 (${\pm}4.4$) years. Two year olds formed the largest group of injured children, with 77 cases (20.4% of the total). The most common cause of injury in childhood was being hit by an object (26.2%). Falls were frequent in the under-1-year group (22.2%) and slip downs (30.1%) were more frequent in 1-to-4-year group. More than half (53.4%) of the injuries occurred in the home, and the most common places of home-related injuries were the living room (41.1%) and the bedroom (31.2%). The mean (${\pm}SD$) NISS was 1.5 (${\pm}1.8$), and traffic accidents had the highest NISS ($2.8{\pm}5.1$). Injuries occurred most frequently during the evening. The peak period was 4:00 PM to 8:00 PM (33.7%). Conclusion: Patterns of childhood injury by age group were considerably different, and less severe and nonhospitalized injuries were common. Thus, need to improve surveillance of a variety of injuries, promote intersectional collaboration, build institutional capacities and mobilize community support and policy as an investment in prevention.

• Journal of Trauma and Injury
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• v.22 no.2
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• pp.242-247
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• 2009

Purpose: Trauma is an important cause of death in children. In particular, the liver is the second most commonly organ injured by blunt abdominal trauma. Treatment of patients with liver injury is has changed, and non-operative treatment is the major treatment method at present. In this study, we reviewed traumatic liver injury in pediatric patients. Methods: Seventy-seven patients younger than 16 years of age with traumatic liver injury were assessed for 10 years from July 1999 to June 2009 at Wonju Christian hospital. Records of the patients were reviewed retrospectively. Demographic and clinical data were analyzed. Results: The median age was 6 years, and the male-to-female ratio was 1.2 : 1. The most common injury grade was grade I. The majority of injuries were caused by was traffic accidents, and the second most common cause of injuries was falls. Twenty-four patients had liver injuries alone, and the most common accopaning injury was a lung injury. The average hospital stay was 20.7 days, and the average ICU stay was 4.8 days. Four patients died (5.2%). There were 6 patients with under 10 points on the Glasgow coma scale (GCS). Among these patients, three died. All mortality cases had over 16 points on the Injury Severity Score (ISS). Two patients were treated surgically, one of whom died. Of the 75 patients with non-operative management, three died due to associated injuries. Conclusion: Most pediatric patients with liver injury have good results with non-operative management. Associated injuries and hemodynamic instability are predictive of patient outcome, and those with isolated liver injuries can be successfully managed non-operatively.

• Journal of Trauma and Injury
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• v.26 no.3
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• pp.207-213
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• 2013

Purpose: Traumatic pancreas injuries are rare conditions that result in high morbidity and mortality. Thus, early diagnosis and intervention are very important to manage pancreatic injuries. The purpose of this study is to review the management and outcomes of the pancreatic injuries in the Korean population. Methods: Original articles published from January 2001 to December 2012 and addressing the Korean population were selected by using indices such as 'pancreas injury', 'traumatic pancreas injury', and 'pancreatic trauma' to search KoreaMed and PubMed. Nine reports were selected to review the management options for surgery or endoscopic retrograde cholangio-pancreatography. We assessed the injury mechanisms, injury severities, associated injuries, types of operation, and outcomes. Results: Two hundred fifty of the 332 patients included in the 9 selected reports were men, and the mean age of all patients was 36.4 years. The main injury mechanism was traffic accidents(65.6%). Most patients had grade II or III injuries(68.9%). The most common extra-pancreatic injury site was the liver, followed by the chest and spleen. Operative management, including distal pancreatectomies(129), drainage procedures(64), pancreaticoduodenectomies(23), and others(60), was used for 276 patients. The reported mortality rate was 10.2%, and the morbidity rate ranged from 38% to 76.9%. The average length of hospital stay was 39.5 days. Risk factors for mortality were amount of transfusion, injury severity, base deficit, age, and presence of shock. Conclusion: In this study, we found neither significant data nor a consensus. If national guidelines are to be developed and established, a national data bank or registry, and nationwide data collection are required.

• Journal of Korean Society of Transportation
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• v.25 no.2 s.95
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• pp.51-61
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• 2007

Increasing traffic volumes and excessively high speeds on national highways through small towns often increases the frequency of accidents. Extensive paved areas, narrow sidewalks, median barriers and little greenery have resulted in a dangerous and destructive living environment for residents. The reason for this problem is that throughways were expanded without considering the harmony between the throughways and the small towns. Construction of bypasses and reclassification of highway functions would solve the problem by reducing vehicle speeds in small towns, but this method is too costly and time consuming. Therefore, this study analyzes national highways through small towns as a case studies using positive guidance in order to improve safety and develop alternatives. As a result of the case study, the biggest problem was observed to be the excessively high vehicle speeds, This study also identified places were information should be given or posted but is currently absent. Therefore, this study concludes that notional highways through small towns need installation of speed reduction facilities and additional information provision to drivers.

• Journal of Korean Society of Transportation
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• v.27 no.4
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• pp.103-113
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• 2009

Quick accident spot reaching of 119ERU is the most important role in decrease of accident depth. If 4 minutes of wounded person pass after cardiac arrest, brain damage is begun. and If 10 minutes of wounded person pass after cardiac arrest, possibility to die rises. Accordingly, when establish 119ERU, need to consider travel time to traffic accidents spot. This treatise groped a facility location problem using SCLM and minisum location problem mutually. And existent minisum location problem has a problem that maximum travel time exceed $\lambda$. ERU to need in present situation and also can reduce average travel time. so this treatise propose modified minisum location problem. In case applying modified minisum location theory, 119ERU can arrive all demand and that is optimized about demand and travel time. Can minimise figure of 119 first aids to need in present situation applying this way, and also can reduce average passing time. Finally, this way can minimise figure of 119ERU to need in present situation and also can reduce average travel time.