• 대한기관식도과학회:학술대회논문집
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• 대한기관식도과학회 1983년도 제17차 학술대회연제순서 및 초록
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• pp.14.2-14
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• 1983

후두외상의 손상은 그 정도나 범위에 따라 차이는 인지만 주요 후유증으로는 기도폐쇄, 부종, 주위조직의 봉와직염 및 농양, 누공, 후두연골 및 연골지막염, 만성 후두협착, 성대마비, 기관발거곤란증, 성음장애 등을 들 수 있고, 일반적인 후두외상의 치료방법은 일차적으로 신속한 기도유지를 위한 처치를 한 다음 상기각 후유증에 따르는 이차 시술을 시행하는 것이 보통이다. 최근 저자들은 교통사고로 인한 후두부 및 경부의 폐쇄적 외상으로 갑상연골 골절과 좌측 성대마비, 연하장애 및 우측 쇄골 골절을 보인 환자에게서 갑상연골 정복술을 시행 후 술후 2개월에 상기 증세의 호전을 보인 예를 경험하였기에 문헌고찰과 함께 보고하는 바이다.

• 한국재료학회지
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• 제21권7호
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• pp.364-370
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• 2011

Currently, there are two main issues regarding the development of core technologies in the automotive industry: the development of environmentally friendly vehicles and securing a high level of safety in the event of an accident. As part of the efforts to address these issues, research into alternative materials and new car body manufacturing and assembly technologies is necessary, and this has been carried out mainly by the automotive industries. Large press molds for producing car body parts are made of cast iron. With the increase of automobile production and various changes of design, the press forming process of car body parts has become more difficult. In the case of large press molds, high hardness and abrasive resistance are needed. To overcome these problems, we attempted to develop a combined heat treatment process consisting of local laser heat treatment followed by plasma nitriding, and evaluated the characteristics of the proposed heat treatment method. From the results of the experiments, it has been shown that the maximum surface hardness is 864 Hv by the laser heat treatment, 953 Hv by the plasma nitriding, and 1,094 Hv by the combined heat treatment. It is anticipated that the suggested combined heat treatment can be used to evaluate the durability of press mold.

• International journal of advanced smart convergence
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• 제9권4호
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• pp.62-73
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• 2020

In this paper, we present electronic acupuncture needles we have developed using intelligence technology based on Bluetooth in order to allow anyone to simply receive customized remote diagnosis and treatment by clicking on the menu of the smartphone regardless of time and place. In order to determine the health condition and disease of patients, we have developed a software and a hardware of electronic acupuncture needles, operating on Bluetooth which transmits biometric data to oriental medical doctors using the functions of automatically determining pulse diagnosis, tongue diagnosis, and oxygen saturation; the functions are most commonly used in herbal treatment. In addition, using fuzzy logic and reasoning based on smartphones, we present in this paper an algorithm and the results of completion of hardware implementation for electronic acupuncture needles, appropriate for the body conditions of patients; the algorithm and the hardware implementation are for a treatment time duration by electronic acupuncture needles, an automatic determinations of pulse diagnosis, tongue diagnosis, and oxygen saturation, a function implementation for automatic display of acupuncture point, and a strength adjustment of electronic acupuncture needles. As a result of our simulation, we have shown that the treatment of patients, performed using an Electronic Acupuncture Needles based on intelligence, is more efficient compared to the treatment that was performed before.

• 한국중재학회지:중재연구
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• 제31권4호
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• pp.119-136
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• 2021

Due to the restriction of movement caused by the Corona epidemic and the expansion of the "big face" through human distance, the "unmanned system" based on artificial intelligence and the Internet of Things has been widely used in modern life. "Self-driving," one of the transportation systems based on artificial technology, has taken the initiative in the transportation system as the spread of Corona has begun. Self-driving technology eliminates unnecessary contact and saves time and manpower, which can significantly impact current and future transportation. Accidents may occur, however, due to the performance of self-driving technology during transportation albeit the U.S. allows ordinary people to drive automatically through experimental operations, and the product liability law will resolve the dispute. Self-driving has become popular in the U.S. after the experimental stage, and in the event of a self-driving accident, product liability should be applied to protect drivers from complicated self-driving disputes. The purpose of this paper is to investigate whether disputes caused by defects in ordinary cars can be resolved through arbitration through U.S. precedents and to investigate whether disputes caused by defects in autonomous cars can be arbitrated.

• Journal of Trauma and Injury
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• 제30권3호
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• pp.75-79
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• 2017

Purpose: Although trauma is the most common cause of death under age 18, Korean national pediatric trauma data has lack of clinical data. This study is to prepare manpower resources, equipment, and make a correct policy decision on pediatric trauma victims Methods: The study enrolled 528 patients under age 16 with traumatic injury visited Wonju Severance Christian Hostpital Trauma Center, from February 12, 2015 to December 31, 2016. We analyzed the distribution of gender, age, place and time of the accident, injury mechanism, injury severity, and injured organ by medical record. Results: The major injury mechanisms were blunt injury in 485 (91.90%), penetrating injury in 27 (5.10%), burn in 13 (2.50%), near drowning in 2 (0.40%), and foreign body ingestion in 1 (0.20%). Ninety-seven (18.4%) patients were injured at home and 67 (12.7%) patients were injured at school. The overall mortality rate was 1.13% (n=6). 5 mortalities were related to automobile accident and one was fall down. Mean Injury Severity Score (ISS) was 4 (2, 8). No statistical significance was observed in the mean ISS between each age group. The peak time of accident occurrence was between 16 and 17 o'clock. The mean ISS was higher in blunt injury group than penetrating injury with statistical significance ($6.50{\pm}7.60$ vs. $3.00{\pm}8.10$; p<0.05). The most common injury site was upper extremity. Mean ISS was highest in thorax injury. However, mean ISS of thorax injury was higher with statistical significance only compared with face, neck and upper extremity injury. Conclusions: We reported our pediatric trauma patients data of our hospital level I trauma center, which is the only one level I trauma center of Gangwon Province. These data is useful to prevent and prepare for pediatric trauma.

• Journal of Trauma and Injury
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• 제25권4호
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• pp.188-195
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• 2012

Purpose: An increase in the demand for specialized Trauma Centers led to a government-driven campaign, that began in 2009. Our hospital was selected as one of the Trauma Centers, and we reviewed data on trauma patients in order to correlate the mortality at a regional Trauma Center with its contributing factors, such as the severity of the injury, the means of arrival, and the time duration before arrival at our center. Methods: Data on the patients who visited our Trauma Center from January 2010 to November 2011 were retrospectively reviewed using electronic medical records. The patients who had revised trauma scores (RTSs) less than 7 or injury severity scores (ISSs) greater than 15 were included. The patients were categorized as survivors and non-survivors, and the means of arrival as transferred or visited directly. Time durations before arrival of less than one hour were also taken intoconsideration. Results: Two hundred(200) patients were enrolled, and the mortality rate was 36.5%. The most common cause of the accident was an automobile accident, and the most common cause of death was brain injury. The RTSs and the ISSs were significantly different in the non-survivor and the survivor groups. The mortality rate of the patients who were transferred was not statistically different from that of patients who visited directly. However, a time duration before arrival of less than one hour was statistically meaningful. Conclusion: The prognosis of the trauma patients were correlated with the severity of the trauma as can be expected, but the time between the incidence of accident and the arrival at hospital and whether the presence of transfer to trauma center were not statistically significant to the prognosis.

• 보건교육건강증진학회지
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• 제21권3호
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• pp.101-116
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• 2004

Korea has the highest traffic accident occurrence rate in the world. It means that we are forced to face a tremendous amount of economic loses and great cost of life. Even though this phenomenon consistently has arose as a public issue every year and many researchers have emphasized the importance of safety education as the fundamental solution, we are still trying to make a long-lasting and effective traffic safety education programs for children and adolescents. The purpose of this study was to test the effectiveness of web-based learning for traffic safety in Korea middle school. For this purpose, the instructive model was constructed based on the ASSURE model and a special web-site of education was developed on behalf of practical use of multi-media learning materials for the traffic safety. The research subject was represented by 259 students from second grade in 2 middle schools located in Seoul Korea. The traffic safety education program using web-site was preceded to the 136 students as a case group for 45 minutes total 3 times. Other 126 students are control group those who did not get with this program. The survey was conducted before and after the education. The results of this study were as follow: 1. The knowledge analysis from the comparison between before and after of the lesson showed case group and control group scored average at 11.25 points and 10.97 points. However, after they attended programs, case group scored 13.57 points and control group scored 10.85 points. The difference from the result of the case group was statistically significant(p<0.001). 2. The attitude analysis from the comparison between before and after of the lesson showed case group and control group scored averages at 29.59 points and 28.21 points. However, after they attended program, case group scored 37.23 points and control group scored 32.71 points. The difference from the result of the case group was statistically significant(p<0.05). 3. Regarding the domain analysis by means of web-based traffic safety education, only the case group had a statistically significant score in the case of knowledge 'safe utilization of bicycle' and 'The Characteristic of Automobile and Safer Mode of Walking for Pedestrian'(p<0.01, p< 0.001), and in the case of attitude 'safe walking and crossing' 'The Characteristic of Automobile and Safer Mode of Walking for Pedestrian'(p<0.01, p<0.001). 4. Web based instruction for traffic safety was effective in terms of improving students' knowledge and attitude for traffic safety.

• 한국지역지리학회지
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• 제14권5호
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• pp.587-603
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• 2008

본 연구에서는 웅치 지역에서 교통로가 변화하는 과정을 도보 시대와 자동차 시대로 구분하고, 교통로 변환의 요인과 특성을 사회적 측면과 기술적 측면에서 살펴봤다. 웅치 지역의 교통로 개설에서 가장 큰 지형적 제약 조건은 분수계를 중심으로 한 동서의 상대고도 차이와 특히 서쪽의 급경사 부분이었다. 이러한 제한 조건을 극복하기 위해서 도보시대에는 이용 목적에 따라 다양한 노선이 개설되어 이용되어 왔고, 1910년대 신작로 개설 이후 자동차 시대에는 경사도와 굽이를 줄이려는 노력이 계속되었고 특정 교통로가 중점적으로 이용되었다. 이 지역 교통로 변화의 사회적 측면에서의 특징은 첫째, 도보시대에는 다양한 노선이 동시에 이용되었지만, 자동차 시대에는 특정 노선만이 집중적으로 이용되었다. 둘째, 교통사고나 대규모 행사에 따른 사회적 필요에 의해서 새로운 도로의 개설이 추진되었다. 셋째, 지형 조건을 극복하기 위한 지역 범위가 확대되었다. 넷째, 교통 노선의 변화는 노선관련 취락의 성쇠에 영향을 주었다. 그리고 기술적인 측면에서는 첫째, 터널을 뚫는 방법을 사용했다. 둘째, 굽이 즉 최소곡선반경(R)을 완화하려는 노력을 계속해 왔다. 셋째, 경사도를 완화하려는 노력을 계속해 왔다. 넷째, 음지보다는 양지를 향하게 하는 방향을 고려했다.

• 한국터널지하공간학회 논문집
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• 제24권4호
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• pp.305-316
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• 2022

화석연료의 고갈과 환경문제의 대안으로 수소에너지가 부각되고 있으며, 자동차 산업에서도 수소차의 보급이 증가하고 있다. 그러나 수소는 가연농도 범위가 4~75%로 넓은 가연영역을 가지고 있어 수소차 사고 시 안전에 대한 우려가 높은 실정이다. 특히, 터널이나 지하주차장과 같은 반밀폐 공간에서는 수소누출에 따른 화재나 폭발이 대형사고를 유발할 가능성이 높기 때문에 수소누출에 따른 가연영역 분석을 통해 수소 안전성에 대한 검토가 필요한 실정이다. 이에 본 연구에서는 표준단면의 도로터널에서 수소차량의 수소 누출조건과 터널 내 풍속에 따른 수소농도 해석을 수행하여 터널 내 풍속이 가연영역에 미치는 영향을 검토하였다. 수소의 누출조건은 1개의 탱크와 3개의 탱크가 통시에 TPRD를 통해 누출되는 조건과 대형크랙이 발생하여 누출하는 조건으로 하였으며, 터널 내 풍속은 0, 1, 2.5, 4.0 m/s를 고려하였다. 가연영역에 대한 검토결과, 1 m/s 이상의 풍속이 존재하는 경우에는 풍속이 없는 경우와 비교하여 최대 25%수준까지 감소하는 것으로 나타나고 있으며, 풍속증가에 따른 가연영역의 감소효과는 거의 없는 것으로 나타나고 있다. 특히 대형크랙이 발생하여 약 2.5초 만에 완전히 누출되는 경우에는 풍속이 증가하면 가연영역이 약간 증가하는 것으로 나타나고 있다. 또한 하향 분출되는 경우에 풍속이 작은 차량하부 영역에 수소가스가 상당히 긴 시간동안 잔류하는 것으로 분석되었다.

• 대한토목학회논문집
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• 제32권3D호
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• pp.189-196
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• 2012

지난 50여 년간 고도의 경제 성장은 급격한 자동차의 증가를 초래하였다. 이러한 자동차 증가는 도시 내에서 도로혼잡, 교통사고, 환경오염, 소음과 진동을 발생시켜, 결국 교통의 주체인 사람이 피해를 보게 되는 사회문제로 대두되고 있다. 이로 인해 녹색교통, 특히 보행의 중요성에 대한 관심이 높아지고 있으며, 그중 보행 관련시설의 설치가 확대되고 있다. 그러나 보행시설이 잘못 설계될 경우, 보행의 쾌적성과 안전성을 저하시킬 수 있어 주의를 요한다. 본 연구는 기존 지하철 환승역 내에서 조사된 보행자의 움직임을 마이크로하게 추적, 분석하여 보행동선의 문제점을 찾아 대안들을 제시하며, 대안들의 시행 전과 후의 보행환경의 변화를 추정한다. 이때 시뮬레이션 프로그램으로는 유럽에서 통용되고 있지만 국내에서는 아직 적용이 미흡한 SimWalk 프로그램을 이용하였다. 또한 이 프로그램의 장단점을 분석하여 국내 적용 가능성을 진단하였다. 이와 같은 시뮬레이션의 이용은 개선 대안의 시행 전에 면밀한 사전 비교 분석을 가능케 하여 시행착오를 최소화할 수 있을 것으로 판단된다.