• 대한방사선치료학회지
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• 제23권2호
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• pp.109-117
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• 2011

목 적: 호흡에 의하여 영향을 받는 장기의 토모 치료 시 선속 폭(Field Width) 변화에 따른 종양 용적선량의 선량 전달 정확성을 분석하고 자체 제작한 Moving car를 사용하여 선량 변화의 차이를 확인하고 실질적인 종양 선량의 전달 선량을 평가해 보고자 한다. 대상 및 방법: 자체 제작한 Moving car를 사용하여 종축 움직임 차이(0.0 cm, 1.0 cm, 1.5 cm, 2.0 cm)를 적용하고 선속 폭(Field Width) 변화(1.05 cm, 2.50 cm, 5.02 cm)에 따른 측정된 선량의 값을 계산된 선량 값과 비교하여 오차범위를 파악하였다. Gafchromic EBT 필름을 이용하여 측정한 DQA (Delivery Quality Assurance) 필름의 감광정도를 선량윤곽(Dose Profile)과 Gamma Histogram을 이용하여 비교 분석하였다. 결 과: 선속 폭(Field Width) 1.05 cm, 2.50 cm, 5.02 cm일 때 오차범위가 각각 -2.00%, -0.39%, -2.55%의 선량 전달율을 나타내었다. Gafchromic EBT 필름 분석의 선량 윤곽(Dose profile)에서는 Moving car의 움직임이 있는 상태에서 종축방향으로의 움직임이 클수록, 선속 폭(Field Width)이 좁아질수록 고선량 부분에서 계산된 선량과의 오차가 크게 나타났다. Gamma histogram에서는 gamma index가 선속 폭(Field Width)이 좁을수록 움직임의 영향이 상당히 증가하는 것을 알 수 있었다. 결 론: 자체 제작한 Moving car를 이용하여 움직이는 장기의 종축선량 차이를 확인할 수 있었으며 토모 치료 시 선속 폭(Field Width)을 작게 하고 호흡에 의한 장기의 움직임을 최소화하기 위하여 호흡조절 장치와 고정기구의 개발이 필요하리라 사료된다.

• 가정∙방문간호학회지
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• 제7권1호
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• pp.58-72
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• 2000

This study was an attempt to encourage the development of a rehabilitation delivery system and programs as a substitute service for hospitalization on the case of car accident patients, such as hospital based home health care nursing services. Various substitute services for hospitalization are required to curtail the length of stay for inpatients who were hospitalized with car accident compensation insurance. It focused on developing an estimation an early discharge day for car accident inpatients based on detailed statements of treatment for 111 inpatients who were hospitalized at the General Hospital in 1997. This study had four specific purposes as follows. First. to find out the utilization of medical services. Second, to estimate the time of early discharge and income increasing effect based on early discharge for those patients. Third, to identify the factors affecting total medical expenditure and the length of stay for those inpatients. Forth, to figure out the need of utilizing home health care nursing service for accident patients. In order to analyze the length of stay and medical expenditure for inpatients who were hospitalized due to car accidents, the authors conducted micro- and macro-analysis of medical and medical expenditure records. Micro-analysis was done by nominal group discussion of 4 expertise with the critical criteria, such as a decrease in the amount of treatment after surgery, treatments, tests, drugs and changes in the test consistency, drug methods, vital signs, start of ROM exercise, doctor's order, patient's outside visiting ability, and stable conditions. In addition to identifying variables affecting medical expenditure, and the length of stay and income effect due to early discharge day, the data was analyzed with a multiple regression analysis and linear regression analysis model by SPSS-PC for windows and Excell program. Results of this study were as follows. First. the mean length of stay was 50.3 days. whereas the mean length of stay due to early discharge was 34.3 days at the hospital. The estimation of time of early discharge depended on the length of stay. The longer the length of stay, the longer the length of time of early discharge : for instance a length of stay under 10 days was estimated as correlating to a mean length of stay of 6.6 days and early discharge of 6.5. The mean length of stay was 217.4 days and the time of early discharge was 110.1 respectively. The mean medical expenditure per day was found to be 169.085 Won and the mean medical expenditure per day showed negative linear trends according to the length of stay at the hospital. The estimation results of the income effect due to being discharged 16 days early was around 2,244,000 won per bed. However. this sum does not represent the real benefits resulting from early discharge, but rather the income increasing amount without considering medical prime cost in the general hospital. Therefore, further analysis is required on the cost containments and benefits as turn over rate per bed as the medical prime costs. The length of stay was most significant and was positive to the total medical expenditure, as expected. Surgery and patient's residential area was also an important variable in explaining medical expenditure. The level of complications was the most significant variable in explaining the length of stay. There was a high level for need a home health care nursing service which further supports early discharge for accident patients. In addition, when the patient was discharged. they needed follow up care for complications suffered during the car accident. $86.8\%$ of discharged patients responded that they needed home health services after early discharge. From these research findings, the following suggestions have been drawn. Strategies on a health care delivery system must be developed in order to focus on the consumer's needs and being planned for 21 century health policy in Korea. Community based intermediate facilities or home health care should be developed for rehabilitation services as a substitute for hospitalization in order to shorten the length of stay would be. A hospital based home health care nursing service. it would be available immediately to utilize by patients who want rehabilitation services as a substitute for hospitalization with the cooperation of car insurance companies.

• 한국콘텐츠학회논문지
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• 제15권3호
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• pp.114-122
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• 2015

본 연구는 천안시 도심에서 생활하는 고령자를 대상으로 충남사회지표 자료를 이용하여 분산분석, 군집분석 등 통계적 분석방법을 통해 주거환경 만족도를 분석하고, 향후 도심을 고령자가 선호하는 주거공간으로 만들기 위해 어떤 주거환경 항목을 우선적으로 정비하여야 하는가를 제시하기 위해 이루어졌다. 분석결과는 다음과 같다. 첫째, 도심에서 생활하는 고령자의 주거이동 의향은 전체 응답자의 6.9%로 대부분의 사람들은 주거이동 의향이 약한 것으로 나타났다. 둘째, 도심에서 거주하는 고령자의 전반적인 주거환경 만족도는 6.09점으로 다른 지역에 비해 높아 도심을 고령자 친화 공간으로 만들 수 있는 가능성이 높은 것으로 나타났다. 셋째, 남성과 고졸이상, 100만원 이상의 소득자, 1세대 가족형태를 가진 사람의 도심주거환경 만족도가 상대적으로 높은 것으로 분석되었다. 넷째, 주거환경 요소 중 문화와 교육요인, 근린 간의 교류와 신뢰, 교통사고 등의 만족도가 낮아 이를 개선하여야 한다. 특히 우선적으로 이웃 간의 신뢰와 교류가 확대될 수 있는 커뮤니티 기반시설의 확충이 필요하다. 그리고 상대적으로 도심주거환경에 불만족하고 있는 여성들을 도심으로 끌어 들이기 위해서는 교통사고와 범죄 등 일상생활 속에서의 안전성을 보다 강화하여야 한다.

• 동의생리병리학회지
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• 제16권6호
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• pp.1211-1216
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• 2002

To evaluate whole-body vibration(WBV) exposure and fatigue-decreased proficiency(FDP) boundary in passenger car driver, several roads in Busan were divided into 3 types by the condition of road surface; Road 1 was partially damaged, Road 2 was normal without damage, and Road 3 was better than Road 2. The results were following: The highest passenger driver's exposures to whole-body vibration acceleration and fatigue-decreased proficiency boundary at 40km/h were 0.108m/s² and about 2099 minutes in Road 2 for xh axis, 0.134m/s² and about 1585 minutes in Road 2 for yh axis, and 0.183m/s² and about 1053 minutes in Road 2 for zh axis, respectively. The highest passenger driver's exposures to whole-body vibration acceleration and fatigue-decreased proficiency boundary at 80km/h were 0.219m/s² and about 830 minutes in Road 3 xh axis, 0.203m/s² and about 918 minutes in Road 3 for yh axis, and 0.622m/s² and about 195 minutes in Road 1 for zh axis, respectively. The highest vector sums of whole-body vibration exposure at 40km/h and 804km/h were 0.328m/s² in Road 2 and 0.730m/s² in Road 1, respectively. The highest crest factors at 40km/h were 4.25 in Road 1 for xh, 4.51 in Road 3 for yh, and 5.81 in Road 2 for zh, respectively. The highest crest factors at 80km/h were 5.57 in Road 1 for xh, 5.60 in Road 2 for yh, and 6.46 in Road 3 for zh, respectively. The highest transmissibilities of whole-body vibration from floor to seat at 40km/h and 80km/h were 0.89 in Road 3 and 0.82 in Road 3 for xh axis, 0.83 in Road 3 and 0.87 in Road 1 and 2 for yh, and 0.80 in Road 2 and 0.92 in Road 1 tor zh axis, respectively. The highest fatigue-decreased proficiency boundaries for whole-body vibration exposure of passenger car driver in floor and seat were 457 minutes in Road 3 and 583 minutes in Road 3 at 40km/h and 159 minutes in Road 2 and 251 minutes in Road 2 at 80km/h, respectively.

• Clinics in Shoulder and Elbow
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• 제17권3호
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• pp.134-137
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• 2014

To report the fracture of proximal humerus in the lateral anchor site after suture bridge repair. A 57-year-old female patient with shoulder pain on the right-side was admitted through the emergency room following a car accident. Seven weeks before the accident, the patient had undergone surgery at a different hospital for the repair of supraspinatus tendon rupture on the right-side via suture bridge technique. Humerus surgical neck fracture was confirmed by X-ray, and proximal humerus fracture at the anchor site was confirmed by magnetic resonance imaging. Following 7 months of conservative treatment resulted in satisfactory bone union and motion of the shoulder joint. We report the need of close observation during and after the arthroscopic repair of the rotator cuff in patients with osteoporosis.

• 한국자동차공학회논문집
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• 제21권2호
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• pp.81-86
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• 2013

This paper presents the lane change system for collision avoidance. The proposed algorithm for the collision avoidance consists of path generation and path following. Using a calculated TTC (Time to Collision), partial braking is operated and collision avoidance path is generated considering relative distance, velocity and acceleration. Based on the collision avoidance path, desired yaw angle and yaw rate are calculated for the automated path following. The lateral controller is designed by a Lyapunov function approach using 3 D.O.F vehicle model and vehicle parameters. The required steering angle is determined from wheel velocity, longitudinal and lateral velocity in order to follow the desired yaw angle and yaw rate. This system is developed MATLAB/Simulink and its performance is evaluated using the commercial software CarSim.

• Journal of Oral Medicine and Pain
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• 제48권4호
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• pp.181-185
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• 2023

We present a case report of a 52-year-old male patient who suffered head trauma in a car accident and subsequently experienced taste and smell disorders. Following the accident, the patient reported difficulty detecting salty and sour tastes and diminished olfactory perception. Neurosurgical evaluation revealed subarachnoid and subdural hemorrhages, while otolaryngology investigations revealed hyposmia-a decreased sense of smell. Upon referral to the Department of Oral Medicine, a comprehensive assessment revealed a general bilateral reduction in taste sensation, particularly ageusia for salty taste. Electric taste-detection thresholds significantly exceeded the normal ranges. Integrating our findings from neurosurgery, otolaryngology, and oral medicine resulted in a diagnosis of mixed chemosensory disorder attributed to head trauma. This case highlights the intricate interplay of alterations in taste and smell following head injury, emphasizing the significance of multidisciplinary evaluations in diagnosing mixed chemosensory disorders resulting from traumatic brain injury.

• 한국항만경제학회지
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• 제34권1호
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• pp.111-132
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• 2018

중국이 경제대국으로의 성장한데 이어 한국의 제1위 교역국으로서 2015년 6월 1일 한 중 FTA 정식 서명이 이루어짐에 따라 한 중간 교역 규모 증가가 예상된다. 본 연구에서는 한 중간 FTA 체결에 따라 더욱 증가할 수 있는 수출입 물동량과 한 중간 카페리노선 활용도를 제고하고자 하였다. 따라서 현재 운항중인 카페리선사 및 컨테이너 정기선사를 이용 중인 화주 및 포워더를 대상으로 카페리선사의 발전전략이라는 목적을 전제 하에 두 개의 설문조사를 실시하였다. 먼저 한 중 카페리선사 및 정기선사를 이용하는 화주 및 포워더를 대상으로 선사 선택요인에 대한 중요도 우선순위를 도출하고자 하였다. 이를 위해 카페리 및 정기선사 경쟁력 강화방안에 대한 선행연구를 분석하여 변수의 조작적 정의를 주요인은 신속성, 경제성 그리고 안전성으로 구분하고 다시 신속성에 관한 세부요인을 한 중 해상항로를 운항하는 선박 운항시간과, 항만에서 화물을 싣고 내리는 하역시간, 그리고 관세법에 따른 절차를 이행하여 물품을 수출, 수입, 반송하는 통관시간으로 구분하였고, 경제성 요인에 관한 세부요인은 수도권항만에서 중국으로 운항하는 해상운임부분과 항만에서 선박으로부터 화물을 싣고 내리는 하역비용, 그리고 항만 하역 후에 육상운송으로 화주에게 화물을 배송하는 내륙 연계 운임 비용으로 구분하였다. 마지막으로 안정성에 관한 세부요인으로는 카페리선과 정기선사 운항시 선박의 흔들림으로 인한 화물의 파손율과 화물의 흔들림을 최소화하기 위한 라싱(Lashing) 및 쇼어링(Shoring) 등의 고박장치 시설, 그리고 운행표를 미리 작성하여 이것에 따라 선박을 운항할 때 출발시간 및 도착시간이 스케줄에 따라 정해진 시간에 이루어지는가에 대한 운항의 정시성으로 세부요인을 구분하였다. 계층분석법(AHP)을 활용한 주요인에 대한 카페리 및 정기선사 선택요인의 중요도 우선순위 분석결과, 카페리 선사 물류서비스 이용자인 화주그룹은 신속성 0.549, 안정성 0.309, 경제성 0.142로, 항목간 중요도 차이가 크게 나타났으나, 물류서비스 공급자인 포워더그룹은 신속성 0.350, 안정성 0.348, 경제성 0.302로 중요도 차이가 크게 나타나지 않았다. 반면 정기선사를 이용하고 있는 화주 및 포워더 그룹은 카페리 선사를 이용하고 있는 그룹과 달리 경제성>안정성>신속성 순으로 중요하게 생각하고 있음을 알 수 있다.

• Archives of Pharmacal Research
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• 제9권3호
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• pp.183-187
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• 1986

Some of organophosphate pesticides which are the most heavily used in Korea, were examined for their effects on the murine immune system. Immunotoxicological assay parameters adaopted in this study were Arthus reaction for humoral immunity, delayed type hypersensitivity reaction for cell mediate immunity, carbon clearance for macrophage function and susceptiility to tumor challenge. Subchronic exposure of rodents to the pesticides resulted in the marked suppression of immune functions and enhancement of susceptibility to tumor challenge. Among the pesticides tested (fenitrothion, fenthion, diazinon and EPN), fenitrothion was the most suppressive in Arthus and delayed type hypersensitivity reaction.

• Journal of Chest Surgery
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• 제47권4호
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• pp.402-405
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• 2014

Myocardial infarction (MI) secondary to coronary artery fistula and the subsequent occlusion of the distal right coronary artery (RCA) after blunt chest trauma is a rare entity. Here, we describe a case of coronary artery fistula and occlusion with an inferior MI that occurred following blunt chest trauma. At the initial visit to the emergency room after a car accident, this patient had been undiagnosed with acute myocardial infarction, readmitted five months after ischemic insult, and revealed to have experienced MI due to RCA-right atrial fistula and occlusion of the distal RCA. He underwent coronary surgery and recovered without complications.