• The Journal of Korean Society for Radiation Therapy
• /
• v.23 no.2
• /
• pp.109-117
• /
• 2011

Purpose: To analyze the accuracy of tumor volume dose following field width change, to check the difference of dose change by using self-made moving car, and to evaluate practical delivery tumor dose when tomotherapy in the treatment of organ influenced by breathing. Materials and Methods: By using self-made moving car, the difference of longitudinal movement (0.0 cm, 1.0 cm, 1.5 cm, 2.0 cm) was applied and compared calculated dose with measured dose according to change of field width (1.05 cm, 2.50 cm, 5.02 cm) and apprehended margin of error. Then done comparative analysis in degree of photosensitivity of DQA film measured by using Gafchromic EBT film. Dose profile and Gamma histogram were used to measure degree of photosensitivity of DQA film. Results: When field width were 1.05 cm, 2.50 cm, 5.02 cm, margin of error of dose delivery coefficient was -2.00%, -0.39%, -2.55%. In dose profile of Gafchromic EBT film's analysis, the movement of moving car had greater motion toward longitudinal direction and as field width was narrower, big error increased considerably at high dose part compared to calculated dose. The more field width was narrowed, gamma index had a large considerable influence of moving at gamma histogram. Conclusion: We could check the difference of longitudinal dose of moving organ. In order to small field width and minimize organ moving due to breathing, it is thought to be needed to develop breathing control unit and fixation tool.

• Journal of Korean Academic Society of Home Health Care Nursing
• /
• v.7 no.1
• /
• pp.58-72
• /
• 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.

• The Journal of the Korea Contents Association
• /
• v.15 no.3
• /
• pp.114-122
• /
• 2015

This study aims to analyze the satisfaction of seniors living in Cheonan City downtown as to their residential environment. Also, this study intends to identify which factors should be improved first to make downtown a favorable residential area. To that end, 'social indicators of Chungnam' was used. The collected data was analyzed through a statistical analysis method using ANOVA (analysis of variance) and a cluster analysis. It led to the following findings. First, 6.9% of the elderly residents expressed their wish to move from their downtown residence. Thus, the majority of the residents do not want to move. Second, the satisfaction of the elderly residents in their downtown residence scored 6.09. The score is higher than those of other regions. Thus, it is highly possible to develop downtown into a senior-friendly area. Third, as for satisfaction in downtown residence, it was higher among the following groups: men; those with high school or higher level of education; those earning at least a million won a month; family of one generation. Fourth, satisfaction in the following factors was relatively low: culture and education; interaction with neighbors and trust in them; car accidents. Thus, those factors should be improved for downtown residents. Above all, community-faced facilities should be expanded to increase exchanges with neighbors and trust in them. To attract women dissatisfied with downtown residence. it is imperative to increase daily safety by reducing car accidents and crime.

• Journal of Physiology & Pathology in Korean Medicine
• /
• v.16 no.6
• /
• pp.1211-1216
• /
• 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
• /
• v.17 no.3
• /
• pp.134-137
• /
• 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.

• Transactions of the Korean Society of Automotive Engineers
• /
• v.21 no.2
• /
• pp.81-86
• /
• 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
• /
• v.48 no.4
• /
• pp.181-185
• /
• 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.

• Journal of Korea Port Economic Association
• /
• v.34 no.1
• /
• pp.111-132
• /
• 2018

As China continues to evolve as a major economic power and the Free Trade Agreement (FTA) between the Republic of Korea and China was ratified on June 1, 2015, market volume between the two countries is expected to grow more rapidly. This study aims on improving the efficiency of car-ferry lines. We conducted two surveys- for shippers and forwarders of car-ferry companies, and container liners. The study analyzes the decision factors for delivery companies and their importance for shippers and forwarders of car-ferry companies and container liners. Based on analysis of prior studies on the competition for car-ferry companies and liners, three primary variables are selected-promptness, economics, and safety. The promptness variable consists of shipping time, loading/unloading time, and customs clearing time. The economic variable consists of marine transportation cost from a domestic harbor to China, loading/unloading cost in the harbor, and overland transport cost from the harbor to shippers inland. Finally, the safety variable consists of cargo damage rates, safety facilities, such as lashing and shoring, and punctuality of transportation time. The survey and AHP results show that the promptness, safety, and economics factors are 0.549, 0.309, and 0.142 in the shipper groups of car-ferry companies' category, respectively. It indicates that there is considerable difference in the importance of each factor. In contrast, the factors are 0.350, 0.348, and 0.302 in the forwarders category, which suggests that there is little difference in each factor's importance. As for shippers and forwarders of liners, the importance of each factor is found to be in the following order: economics, safety, and promptness.

• Archives of Pharmacal Research
• /
• v.9 no.3
• /
• pp.183-187
• /
• 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
• /
• v.47 no.4
• /
• pp.402-405
• /
• 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.