• Journal of Trauma and Injury
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• 제19권2호
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• pp.201-205
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• 2006

Tension viscerothorax (gastrothorax) is rare life-threatening disease which is caused by air trapped in viscera. A distended viscera in the hemi-thorax shifts the mediastinal structures and causes extra-cardiac obstructive shock. A defective diaphragm is caused by abdominal trauma or a congenital anomaly. Traumatic diaphragmatic injury can be missed until herniation develops several years after blunt trauma. In our case, a 10-year old boy developed hemodynamic compromise in the emergency department. Three years earlier, he had suffered blunt abdominal trauma during a pedestrian traffic accident, but there was no evidence of diaphragmatic injury at that time. He was successfully resuscitated by gastric decompression and an emergent thoracic operation. The operation finding revealed a traumatic diaphragmatic injury. Tension viscerothorax is a rare, but catastrophic, condition, so we suggest that addition of tension viscerothorax to the Advanced Trauma and Life Support (ATLS) guidelines may be helpful.

• 한국방재학회 논문집
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• 제8권6호
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• pp.93-100
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• 2008

부산은 해안과 접해 있는 지형적 특성과 인구집중에 따른 과밀, 고층건축물의 신축, 높은 건축밀도에 따라 자연재난(태풍, 해일, 홍수, 폭풍 지진 등) 인적재난(화재, 붕괴, 폭발 교통사고 등)의 발생규모 및 피해 정도가 날로 증가하고 있다. 이를 해결하기 위하여 부산시에는 2007년 부산 Ubiquitous-Safety Busan 모델 전략 및 설계를 통해 2020년을 목표로 Ubiquitous-Safety 실현하여 시민들의 재산과 생명을 보호할 수 있는 안전 시스템을 구축하기 위한 기본계획을 수립하였다. 이에 본 연구에서는 부산지역의 Ubiquitous-Safety 실현을 통해 지역 경제에 미치는 파급효과를 정량적으로 분석하였다. Ubiquitous-Safety 실현에 따른 부산지역의 생산유발파급효과는 약 2,500억의 직 간접효과가 발생할 것으로 예측되었다. 또한 부가가치유발효과 는 약 1,155억원의 직 간접효과가 발생한 것으로 예측되었고, 고용유발효과는 약 5,580명의 직럭 Ａc 고용 파급효과가 창출될 것으로 예측되었으며 소득유발효과는 약 518억의 직 간접적인 부가가치 파급효과가 발생한 것으로 예측되었다. 부산 Ubiquitous-Safety 실현에 따른 지역경제 파급 분석에 관한 연구이다.

• 한국통신학회논문지
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• 제32권2A호
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• pp.203-212
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• 2007

같은 도로를 달리고 있는 차량들 사이에서 긴급메시지를 이용하여 긴급정지, 사고, 방해물, 차량 고장 등의 위험 관련 정보를 교환하는 고도화된 차량안전 시스템을 구축할 수 있다. 차량의 고속 이동성으로 말미암아 네트워크위상 변화가 심하고, 미리 설정된 연계성이 없는 상태에서 전달되기 때문에, 브로드캐스팅의 형태로 긴급메시지를 전파하고 있다. 하지만, 다중 홉의 영역과 무선 충돌 문제로 말미암아 효율성에 많은 문제점이 제시되고 있다. 차량안전통신을 위한 메시지 전달 방법으로 본 논문에서는 줄기와 가지 구조를 이용하는 선별적 재송신 방법을 제시한다. 제안된 방법은 같은 도로를 이동 중인 후방의 차량들에게 네트워크 플러딩과 유사한 방법으로 메시지를 전파하나 적절한 위치의 노드에게 높은 우선순위 부여하는 선택적인 전달 방법으로 메시지 전달의 효율성을 극대화 한다. 본 논문에서 제시한 방법과 유사연구를 비교하여 성능을 분석, 평가한다.

• Maxillofacial Plastic and Reconstructive Surgery
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• 제12권1호
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• pp.103-113
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• 1990

The study was based on a series of 252 patient with facial bone fractures who visited to Chun Cheon Sacred Heart Hospital, College of Medicine, Hallym University during the period of Dec., 1984 trough Nov., 1989. The results obtained are as follows; 1. The most frequent etiologic factor was traffic accident(45.2%). 2. The ratio of male to female was 5.5 : 1 and 2nd decade(44%) was the highest age group in incidence. 3. Monthly incidence was the highest in Aug(14.3%). 4. The most common site of fracture was mandible(55.3%) and zygoma complex(24.2%), nasal bone(11.6%), maxilla(8.9%) were next in order of frequeny. 5. In mandible fractures, the most frequent site was symphyseal area(36.9%) and 142 cases(85%) had fractures only in mandible. 6. In maxillary fractures, fracture with other facial bones(85.2%) was more frequent than fracture on maxilla only. The major fracture type on maxilla was Le Fort II type. 7. In fracture of zygoma complex, zygoma & zygomatic arch was the most frequent site(52.0%) and zygomatic arch(24.7%), zygoma(23.3%) were next in order. 8. Open reduction was major method of treatment in facial bone fractures except nasal bone ; mandible(62.9%), maxilla(77.8%), zygoma complex(65.8%). 9. Maxillofacial fractures were most frequently combined with head & neck injury(43.1%), and upp. & low. extremities(29.4%), chest and abdomen(11.9%) were in order of frequency.

• 대한한방내과학회지
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• 제33권4호
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• pp.599-608
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• 2012

Objectives : To report three cases of eye movement impairment: internuclear ophthalmoplegia (INO) due to pontine infarction, traumatic abducens nerve palsy, and abducens nerve involvement in Miller-Fisher syndrome. Cases Summary : There were three cases. First, a 64-year-old woman, who was given a diagnosis of INO due to pontine infarction, had left gaze palsy of her right eye while the convergence was intact. Second, a 34-year-old man had abduction impairment of his right eye after a traffic accident. Third, a 66-year-old man, who was diagnosed with Miller-Fisher syndrome, had left gaze palsy of his left eye. Their symptoms improved substantially and their anxieties were relieved after treatment with herbal medicine and acupuncture. Conclusions : There has been no certain cure for eye movement impairment yet. In this report, we present three successful cases of patients with eye movement impairment and show that Korean medical treatment could be a solution for this incurable disease.

• 한국산학기술학회논문지
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• 제13권10호
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• pp.4801-4806
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• 2012

각종 첨단장비로 구성된 자동차는 편의성에 비해 안전성은 크게 강조하지 못하고 있다. 교통사고의 직접적인 원인이라고 할 수 있는 운전 중 딴 짓은 대부분 첨단장비의 인터페이스 조작에 있으며 운전자의 주의를 분산시켜 사고를 야기한다. 스마트 자동차에 대한 관심이 높아지면서 운전자 안전에 대한 다양한 연구가 모색되고 있다. 순간의 시선이동으로 인해 판단력과 조작능력을 상실 할 수 있는 현재의 인터페이스는 안전성이 보장되지 못한다. 본 논문에서는 이러한 운전자의 주의를 분산시키는 요소로 부터 안전성을 확보하기 위해서 차량 내 카메라를 이용하여 손동작을 인식하여 직관적인 제스처로 전화번호를 입력하거나 검색할 수 있는 안전한 다이얼링 시스템을 제안한다. 제안한 시스템은 직관적 동작과 TTS(Text To Speech)를 활용하여 사용자 편의성과 안전성을 높였다.

• 혜화의학회지
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• 제24권2호
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• pp.1-16
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• 2016

Objectives : This study was designed to evaluate various tools including C-spine X-ray for estimating cervical curvature and identify the effect of wooden pillow on patients diagnosed with straightening of cervical curvature. Methods : This study was carried out on 51 subjects who were encountered traffic accident suffering cervical pain and diagnosed with straightening of cervical curvature by X-ray. 51 subjects were divided into wooden pillow(experimental) group and conservative therapy(control) group. Visual analogue scale, neck disability index and lateral pictures were used and compared after treatment. C-spine AP., Lat. X-ray were used on admission day to calculate cervical curvature and scoliosis by various ways. Results : 4 different measurements of cervical curvature didn't show common results. Both wooden pillow(experimental) group and conservative therapy(control) group showed significant improvement in the visual analogue scale(VAS) and neck disability index(NDI) after hospital treatment. Comparison between center line pictured by lateral view and C-spine Lat. pictured by X-ray showed significant difference in cervical curvature. Lateral deviation of cervical vertebra showed lengthened distance between mastoid process and spinous process of C7. Conclusion : As a result of this research, I found out that various tools for calculating cervical lordosis could derive different results and C-spine AP., Lat X-ray could cause artificial cervical lordosis. According to visual analogue scale(VAS) and neck disability index(NDI) wooden pillow was not effective to reduce pain & disability caused by straightening of cervical curvature. Futhermore, correction effect of straightening of cervical curvature and scoliosis by wooden pillow was weak.

• 한국인터넷방송통신학회논문지
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• 제14권4호
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• pp.165-172
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• 2014

자동차가 도로를 주행하는데 있어, 도로설계기준에 미흡한 노면의 상태와 도로환경은 운전자에게 큰 영향을 미친다. 특히, 과거에는 도로설계를 경험적이고 관념적인 판단으로 설계하고 수행하였으나, 최근에는 3, 4차원의 요소들을 동시에 검토하고 조정하는 새로운 기술개발이 시도되고 있다. 본 연구에서는 교통사고 재현을 위한 PC-crash 프로그램을 이용하여 빙판도로의 최고점에서 제동시 주행속도와 종단경사 변화에 따른 차량의 거동특성을 분석하였다. 그 결과로, 교차로 종단경사에 대한 차량거동특성에 노면상태에 따른 마찰계수와 차량속도가 영향을 미친다는 사실을 확인하였으며, 도로설계에 대한 문제점을 사전에 해결하기 위한 시뮬레이션을 통하여 검증의 적합성을 보여주었다.

• Maxillofacial Plastic and Reconstructive Surgery
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• 제21권3호
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• pp.277-283
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• 1999

This study was aimed at furnishing the data of Naso-orbito-ethmoidal fractures and aiding treatmenting Naso-orbito-ethmoidal fractures A 5-year review of Naso-orbito-ethmoidal fractures and concomitant injuries is presented. The patients were treated in the Dept. of Oral and Maxillofacial Surgery of Wankwang University Hospital from Jan. 1, 1993 to Dec. 31, 1997. The results were as followes: Male predominated over female by a ratio of 4.6 : 1. The most common reasons is traffic accident(88.2%). The elapsed time from injury to operation is average 9.2 days, and the mean admission days were 79 days and removal of plates were average 217.3 days. The most associated facial bone fractures is Zygomatico-Maxillary complex fracture(20%). Associated injuries were neurologic injury(29.4%), orthopedic injury(23.5%), opthalmologic injury(17.6%), body injury(5.8%), neuropsychologic injury(5.8%) and otolaryngologic injury(5.8%) in this order. The most injured teeth were upper and lower incisors. The intubation methods for surgery were orotracheal(29.57%), submental(29.5%), and nasotracheal technique(41%). Most patients had complications, that were post-traumatic telecanthus, nasal depression, scar formation. This results suggest that early diagnosis and treatment is prerequisits to satisfactory result. Aggressive management of NOE fracture with direct or bicoronal exposure with aid of CT is now an accepted norm.

• 대한두개안면성형외과학회지
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• 제16권3호
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• pp.136-142
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• 2015

Background: The incidence and etiology of facial bone fracture differ widely according to time and geographic setting. Because of this, prevention and management of facial bone fracture requires ongoing research. This study examines the relationship between socioeconomic status and the incidence of facial bone fractures in patients who had been admitted for facial bone fractures. Methods: A retrospective study was performed for all patients admitted for facial bone fracture at the National Medical Center (Seoul, Korea) from 2010 to 2014. We sought correlations amongst age, gender, fracture type, injury mechanism, alcohol consumption, and type of medical insurance. Results: Out of the 303 patients meeting inclusion criteria, 214 (70.6%) patients were enrolled in National Health Insurance (NHI), 46 (15.2%) patients had Medical Aid, and 43 (14.2%) patients were homeless. The main causes of facial bone fractures were accidental trauma (51.4%), physical altercation (23.1%), and traffic accident (14.2%). On Pearson's chi-square test, alcohol consumption was correlated significantly with accidental trauma (p<0.05). And, the ratio of alcohol consumption leading to facial bone fractures differed significantly in the homeless group compared to the NHI group and the Medical Aid group (p<0.05). Conclusion: We found a significant inverse correlation between economic status and the incidence of facial bone fractures caused by alcohol consumption. Our findings indicate that more elaborate guidelines and prevention programs are needed for socioeconomically marginalized populations.