• Journal of Trauma and Injury
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• 제21권2호
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• pp.136-139
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• 2008

A great variety of penetrating injuries is happening due to the increasing population and violence today. An optimal surgical approach is the key factor for successful repair of a complicated penetrating injury. A 23-year-old woman fell down the stairs from the second floor and received cervico-thoracic penetration injury due to a metalic bar. The metalic bar ruptured the right jugular vein and penetrated the left upper and lower lung. Under cervico-median sternotomy, neck vessels were repaired and the left thorax was successfully entered to repair the damaged lung through the mediastinal pleura. With this approach, the patient's position did not need to be changed during operation, while reduced the operation time compared to the conventional approach (cervical incision and standard thoracotomy).

• Clinical and Experimental Pediatrics
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• 제53권11호
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• pp.942-950
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• 2010

Purpose: The purpose of this study was to determine the mechanisms and exact causes of injuries to children by analyzing the medical records of children who visited emergency medical centers. Methods: We reviewed the medical records of 7,114 pediatric patients (aged below 15 years) who visited the emergency care center (ECC) of a Yeungnam university hospital in Daegu between January 2007 and December 2009. Results: Among the pediatric patients who visited the ECC, 1,526 (27.2%) were admitted for injuries (boys, 979 [64.2%] and girls, 547 [35.8%]); the boy-to-girl ratio in this study population was 1.8:1. The proportion of boys was higher than that of girls over all age ranges, except for children aged less than 1 year. The highest incidence of injury due to slipping (20.5%) was noted in the 1-year-old group, and nearly half the total number of cases (49.3%) involved children who were under 4 years of age. Of the sites of injury, 999 involved the head and face (73.7%) and 134 involved the hand and wrist (9.9%). Seventy-one injuries (5.7%) occurred on the bed, 70 (5.6%) at the door, and 67 (5.3%) on the stairs. Of the approximately 250 types of injuries classified by cause, 17 accounted for 50.4% of all the injuries. Conclusion: The cause of injury could be attributed to approximately 20 causes in more than half the cases of pediatric injuries. A classification of the types of injuries and the development of appropriate preventive strategies can help avoid such injuries.

• 한국응급구조학회지
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• 제11권1호
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• pp.11-25
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• 2007

Objective: The purpose of this study was to investigate the effects of combined exercise on the change of postural control, functional status in patients with osteoarthritis of the knee. Methods : The subjects were consisted of 24 women patients fifties and sixties with knee osteoarthritis. Each group had a exercise for 30 minutes per day and three times a week during 8 weeks period. Was used to measure muscular function(60, $180^{\circ}/sec$), postural control. functional capacity(15 M walking test, Rising form a chair test, stair climbing and descending test) and the functional state of a joint(WOMAC). Results: This study results in following 1. In case of muscular function have significantly increased in both groups. 2. There was no significant difference in the postural control of the bilateral between two groups. However, the postural control of a isokinetic exercise program group showed a significant difference in the bilateral side(overall, $M{\cdot}L$ stability index). Especially, the change of postural control in the isokinetic plus postural control exercise program group decreased more significantly in the bilateral(overall, $A{\cdot}P$ stability index). 3 It was significantly decreased in climbing and descending the stairs, and rising from the chair, although functional capacity decreased in lam walking in both groups. 4. The functional state of a joint(WOMAC) showed a significant decrease in both groups. Conclusion : In order to improve the functional status and postural control of patients with osteoarthritis of the knee, performing exercise programming of isokinetic plus balance will be more effective than the exercise program composed of only the isokinetic exercise program.

• Journal of Computational Design and Engineering
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• 제3권3호
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• pp.250-265
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• 2016

Owing to our rapidly aging society, accessibility evaluation to enhance the ease and safety of access to indoor and outdoor environments for the elderly and disabled is increasing in importance. Accessibility must be assessed not only from the general standard aspect but also in terms of physical and cognitive friendliness for users of different ages, genders, and abilities. Meanwhile, human behavior simulation has been progressing in the areas of crowd behavior analysis and emergency evacuation planning. However, in human behavior simulation, environment models represent only "as-planned" situations. In addition, a pedestrian model cannot generate the detailed articulated movements of various people of different ages and genders in the simulation. Therefore, the final goal of this research was to develop a virtual accessibility evaluation by combining realistic human behavior simulation using a digital human model (DHM) with "as-is" environment models. To achieve this goal, we developed an algorithm for generating human-like DHM walking motions, adapting its strides, turning angles, and footprints to laser-scanned 3D as-is environments including slopes and stairs. The DHM motion was generated based only on a motion-capture (MoCap) data for flat walking. Our implementation constructed as-is 3D environment models from laser-scanned point clouds of real environments and enabled a DHM to walk autonomously in various environment models. The difference in joint angles between the DHM and MoCap data was evaluated. Demonstrations of our environment modeling and walking simulation in indoor and outdoor environments including corridors, slopes, and stairs are illustrated in this study.

• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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• 제28권1호
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• pp.63-74
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• 2022

Purpose: The purpose of this study is to present an evacuation performance analysis model that can derive vulnerable evacuation spaces with considering the movement behavior as per the elderly groups in the event of a fire in a geriatric hospital. Methods: The evacuation characteristics of geriatric hospital users were investigated through the review of precedent studies. First, the occupant conditions and the evacuation scenario were set to analyze a study target hospital. Then, the evacuation simulation was carried out considering the group types and the density of each group. Finally, an evacuation performance analysis model according to the group type was presented based on the simulation results. Results: The results of this study are as follows: (1) The evacuation performance according to the group type is to be clarified through the suggested study model. (2) It is necessary to secure a ramp or an emergency elevator to distribute the evacuation personnel at the design stage because congestion occurs due to collisions between evacuees on the stairs and delays the evacuation time. (3) It is necessary to consider the evacuation stairs and openings of sufficient size by analyzing the frequency of congestion occurrence and the escape routes of occupants in advance to identify the space where the evacuation flow overlaps. Implications: It is expected that the study result is to be used as primary data for studies that consider the elderly and clustering evacuation behavior in the event of a fire in a geriatric hospital.

• 한국재난정보학회 논문집
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• 제18권3호
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• pp.672-686
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• 2022

연구목적: 본 연구의 목적은, 지체 장애인 대피경로 시설에 영향을 미치는 계획요인들을 도출하고, 각 시설별로 영향을 미치는 계획요소들을 규명하고자 하였다. 연구방법: 표본수의 문제와 다중공선성의 문제를 해결하기 위해 PLS(부분최소제곱) 회귀분석을 활용하였다. 연구결과: 분석결과, 각 시설별로 가장 중요한 계획요소는 출입문 : 출입문 닫히는 시간(1.131), 복도 : 휠체어를 위한 경사로(1.227), 계단 : 계단 비상조명(1.117), 대피공간 : 대피공간 편의시설(1.106)으로 도출되었다. 결론: 효율적인 장애인 대피경로를 계획하기 위해서는 일괄적인 반영이 아닌 장애인들의 인식, Needs, 만족도를 고려한 유니버설 디자인을 고려해야 한다.

• 문화기술의 융합
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• 제10권1호
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• pp.507-516
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• 2024

지하공간의 활용 및 개발로 인해 지하철은 도심의 대표적인 교통수단으로 정착되었다. 지하철 호선 연장 및 지하철 이용객 수의 증가로 화재 시 인명의 피난안전이 확보되지 못할 우려가 있다. 따라서 본 연구에서는 설문조사를 통해 시민들의 피난시설에 대한 인식을 파악하고 대안점을 찾고자 하였다. 지하철 피난시설에 대한 시민의식을 알기 위해 지하철 이용객 115명을 대상으로 온라인 설문조사를 시행하였다. 설문결과 피난시설에 대한 인지도는 유도등, 인명구조기구, 비상조명등 및 휴대용 조명, 특별피난계단, 피난계단 순으로 높게 나타났다. 또한 피난시설에 대해 잘 인지하지 못하고 있다는 의견이 대다수였고, 그 원인으로는 사람들의 무관심이 가장 많았다. 인식부족에 대한 해결방안으로는 적극적인 광고 및 홍보, 교육 및 체험 활동 활성화에 대한 응답이 가장 높게 나타났다.

• 한국ITS학회 논문지
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• 제17권2호
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• pp.18-31
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• 2018

실내 재난은 심각한 인명피해를 초래할 수 있기 때문에 재실자의 신속한 피난을 위해 사전에 다양한 분석을 하는 것이 매우 중요하다. 따라서 실내에서 발생할 수 있는 예측 가능한 모든 시나리오에 대한 분석이 필요하다. 본 연구에서는 활동기반 교통모형 MATSim을 이용하여 실내 재난 대피 상황을 분석하는 방법을 제시한다. 연구의 분석 대상지는 대학 건물이며 약 5,000명의 재실자를 시뮬레이션 하였다. 분석 시나리오는 기본 대피 조건, 외부출구 폐쇄 상황, 비상계단 폐쇄 상황으로 설정하였으며 각 시나리오 분석 결과 기본 시나리오에서 평균 피난시간이 약 5분 40초로 분석되었으며 외부 출구가 폐쇄되는 경우 약 15%, 비상구가 폐쇄되는 경우 약 23%로 피난시간이 증가하는 것을 알 수 있었다. 본 연구의 결과로 신속한 피난을 위해서 비상계단의 불법적치물에 대한 관리가 중요하며 고층부의 인원은 옥상으로 피난하는 등 건물의 효과적인 방재 전략을 수립하는데 기여할 수 있을 것으로 판단된다.

• 한국응급구조학회지
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• 제6권1호
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• pp.103-128
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• 2002

As a result of trying the various manufacturing methods considering the reality of manpower and equipments with this manual, the following standardized procedures and contents can be suggested. (1) Since tools presenting Rock-Drill data must formalize the order of explanation although explainers are different, it will be valid that it is configured by existing power point method rather than by web document type. Composition of contents are selected on the basis of defence card and survey and then 8 items including initial screen, peripheral conditions, mobilization route, general conditions, use and structure by floor, department of vehicle consideration in activities and end screen are included. (2) Making methods and cautions of data included and used in power point are as follows ; - It was most effective that objects of fire fighting and location of neighboring fire fighting water were expressed by electronic map and drawing of inner building was made by scanning it after paining general architecture drawing(plan by each floor) rather than using drawing tools of EXCEL program or CAD drawing. And it was helpful to simplify contents of architecture drawing to wall, stairs and gate in understanding them. - Photographing of video data should be taken to show available fire fighting facilities in fire, use of planned space and the whole inner structure of each floor from the inside of fire fighting buildings and to display play time between 10 sec. and 1 min, for obstacles to distance from adjacent buildings or passage of special vehicles and fire fighting water from the outside of the building. - File format of video data taken in this way is most suitable to use wmv(window media video) or asf(advanced streaming format) type in consideration of time required for export, screen quality, file capacity and play type in Rock-Drill through network. - Still screen(photo) is more effective to express the department of fire fighting vehicles or other equipments than using video. (3) In configuration work of power point, hyper link was used most and configured to see any part at any situation like web document and then uniformity of presentation order of power point was complemented. (4) In case of sales facilities with the area of $35.557m^2$, the time of 22 hours and 30 minutes for five days was taken with five persons. Therefore, when eight-hour works a day were calculated, the whole process of video work for Rock-Drill can be finished with three day works.

• 대한안과학회지
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• 제59권12호
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• pp.1185-1189
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• 2018

목적: 위수정체안에서 외상에 의하여 발생한 단독 무홍채증 1예를 경험하였기에 이를 보고하고자 한다. 증례요약: 69세 여자 환자가 계단에서 넘어져 우안 수상 후 우안 안구통 및 시력저하를 주소로 응급실에 내원하였다. 5년 전 본원에서 우안 이측 2.2 mm 투명각막절개창을 통해 백내장수술을 받은 환자였다. 백내장 창상 부위를 통하여 전체 홍채해리가 탈출되었으나 창상이 벌어지거나 후낭, 인공수정체의 손상은 없었다. 결론: 저자들은 국내에서 보고된 바 없는 증례인 위수정체안에서 외상에 의하여 발생한 단독 무홍채증 1예를 경험하였기에 이를 보고하는 바이다.