• 대한임상독성학회지
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• 제21권2호
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• pp.143-150
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• 2023

Purpose: This study aimed to compare the clinical features of methanol and ethylene glycol poisoning. Methods: This single-center retrospective observational study included patients with toxic alcohol poisoning who visited a regional emergency medical center. Patients with methanol and ethylene glycol poisoning from January 2004 to June 2023 were selected for the study using diagnostic codes. Results: Twenty-two patients with toxic alcohol poisoning visited during the study period, with 11 patients for each category. Compared to methanol poisoning, ethylene glycol poisoning patients were more likely to have consumed alcohol for suicidal purposes (n=4 [36.36%] vs. n=8 [72.73%]) and were more likely to be drowsy (n=0 vs. n=6 [54.55%], p=0.016). The anion gap (25.43±8.35 mmol/L vs. 13.22±6.23 mmol/L, p=0.001) and lactic acid levels (1.785 [1.3-2.785] mmol/L vs. 9.90 [4.20-11.81] mmol/L, p=0.007) were higher in ethylene glycol poisoning patients than in methanol poisoning patients. Among alcohol dehydrogenase blockers, oral ethanol was administered to 10 patients (45.45%) (n=4 [36.36%] vs. n=6 [54.55%]), and intravenous ethanol was administered to six patients (n=4 [36.36%] vs. n=2 [18.18%]). Fomepizole was administered to two patients (9.09%) each, and renal replacement therapy was non-significantly more common in patients with ethylene glycol poisoning (n=8 [72.73%] vs. n=3 [27.27%], p=0.128). Three patients had delays in diagnosis and treatment, and while there were no fatalities, one patient was left with permanent vision damage. Conclusion: Because these are uncommon types of poisoning and the clinical presentation is difficult to recognize early, healthcare providers should be familiar with toxic alcohol types and screen for them to ensure proper diagnosis and treatment.

• Clinical and Experimental Vaccine Research
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• 제13권2호
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• pp.121-131
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• 2024

Purpose: The global burden of disease and mortality is greatly influenced by malaria, particularly in children. Nigeria alone accounts for about 25% of global malaria cases and fatalities. Despite efforts to control and eliminate malaria, conventional treatments have limitations, prompting the need for a vaccine. However, while efforts have focused on researching and developing malaria vaccines, less attention has been given to public acceptance and preparedness for vaccination. Materials and Methods: The study employed a cross-sectional approach to assess the knowledge, perceptions, and readiness of caregivers towards the malaria vaccine. Data were collected through a physical and online survey among a representative sample of caregivers across the six geopolitical regions of Nigeria. The data was analyzed using principal component analysis and percentages. Results: Out of 347 respondents, 180 (51%) men, 165 (46.6%) women, 2 (0.5%) transgender, 156 (45%) rural settlers, and 191 (55%) urban settlers were identified in this study. The study reported an overall acceptance rate of 78.4% and 21.6% resistance rate. The age group between 21-30 years recorded the highest 207 (59.6%). A significant number of participants, 252 (59.6%), held at least a higher or post-secondary certificate, out of which 193 (55.6%) demonstrated strong readiness to accept the malaria vaccine. The study showed that fear of adverse effects was the main reason for malaria vaccine resistance among caregivers. Conclusion: This study's findings offer valuable insights into caregivers' knowledge about the malaria vaccine, highlighting the factors that impact the acceptance of the malaria vaccine.

• 한국ITS학회 논문지
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• 제17권3호
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• pp.1-17
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• 2018

렌터카 차량의 교통사고 발생건수 및 사망자 수는 꾸준히 증가하는 추세를 보이며, 사고로 인한 사망률 또한 일반 승용차 및 영업용 택시보다 높다. 본 연구는 전국을 대상으로 2010년부터 2014년까지 발생한 렌터카 사고 데이터를 분석하여 사고 심각도에 영향을 미치는 요인들을 도출하였다. 사고 심각도와 관련된 17개 변수를 렌터카 사고 데이터로부터 추출하였으며 이를 4가지(인적, 차량, 도로 및 환경) 요인으로 구분한 후 순서형 로짓 모델을 적용하여 통계적으로 분석하였다. 분석 결과, 운전자 연령, 교차로 형태, 사고 발생 요일을 제외한 나머지 14개 변수가 렌터카 사고 심각도에 영향을 미치는 요인으로 통계적 유의성이 있는 것으로 분석되었다. 연구결과는 다음과 같이 요약될 수 있다. 첫째, 거주 지역이 아닌 곳에서 발생한 렌터카 사고의 심각도가 더 큰 것으로 나타났다. 둘째, 일반 도로 대비 고속도로 렌터카 사고, 과속 및 11대 중과실 위반 등 법규 위반 관련 렌터카 사고의 경우 사고 심각도가 더 큰 것으로 나타났다. 셋째, 지리적으로 익숙하지 않은 렌터카 운전자 특성상 도로 기하구조가 복잡하며, 운전자의 시야가 분산되는 커브구간 등에서의 사고 심각도가 높게 나타났다. 넷째, 지역별로 렌터카 사고 심각도에 차이가 있으나, 2010년 이후 사고 심각도는 전반적으로 감소하고 있는 것으로 나타났다. 본 연구의 결과는 향후 렌터카 사고 심각도를 줄이기 위한 기초자료로 활용될 수 있을 것으로 생각한다.

• 비파괴검사학회지
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• 제36권5호
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• pp.370-376
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• 2016

구조물 표면은 부식으로 인하여, 크랙이나 감육이 발생할 수 있으며, 이로 인하여 구조물의 파단으로 귀결되어 많은 인명 피해와 재산 손실을 초래할 수 있다. 이에 따라, 박판 구조물이나 배관 구조물과 같이 검사 면적에 비해 두께가 얇은 구조물에 대한 레이저 영상화 기법은 최근 10여년간 꾸준히 연구가 진행되었다. 가장 많이 사용되는 방법으로는 펄스 레이저를 이용한 영상화 시스템이다. 이 방법을 이용하여 평판 구조물, 배관 등 다양한 구조물을 스캐닝하여 비교적 짧은 시간에 원하는 영역을 검사하고 영상화하는 기법이 개발되었다. 하지만, 이 기법은 음파가 결함에 의해 반사되는 반사파를 이용하여 영상화하는 기법으로 검사 위치마다 수 ms의 시간지연이 필요하며, 검사 위치마다 레이저 빔을 집속해주는 렌즈가 필요하여 고가의 복잡한 시스템이 필요하다. 본 연구에서는 연속 가진기법을 이용하여 구조물에 정상파(standing wave)를 가진하고, 이 정상파를 위치별로 스캐닝하여 결함을 영상화하는 기술을 제안하였다. 평판 구조물에 두께가 변화하는 결함을 인공적으로 삽입하여, 제안된 기술의 두께 변화 탐지 가능성을 제시하였다.

• 한국ITS학회 논문지
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• 제13권6호
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• pp.54-63
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• 2014

우리나라 교통사고의 심각성은 OECD 회원국 평균보다 굉장히 높은 수준이며 보행자 사고는 이보다 더 심각한 상황이다. 그럼에도 불구하고 경찰청은 야간의 불필요한 신호대기를 최소화하고 운전자의 운전편의를 개선하기 위하여 점멸신호운영을 확대하고 있는 추세이다. 비록 경찰청은 점멸신호운영이 사고감소에도 긍정적인 영향을 미친다고 발표하고 있지만, 대부분의 해외연구들은 이와는 상반되는 결과를 제시하고 있다. 본 연구에서는 서울시내 54개 점멸신호 운영 교차로를 대상으로 점멸신호운영이 교통사고에 미치는 영향을 분석하고 이에 대한 개선방안을 제시하였다. 분석자료는 점멸신호가 운영되고 있는 교차로의 3년(2011~2013) 동안 사고자료와 사고에 영향을 미칠 것으로 판단되는 교통량과 교차로 기하구조(교차로면적, 좌회전차로, 차선수 등)를 바탕으로 하였다. 평균보다 분산이 큰 교통사고자료의 고유특성을 반영하기 위하여 음 이항 회귀모형(Negative Binomial Regression Model)을 사용하였으며, 모형구축 결과 보행과 연관된 횡단보도 면적 및 버튼식 보행신호기 개수가 사고와 밀접한 연관이 있는 것으로 나타났다. 또한 기존 연구결과와는 달리 일반신호운영교차로에 비해 점멸신호운영교차로의 사고안전성이 더 취약한 것으로 분석되었으며, 그 격차는 약 9% 정도로 나타났다.

• 대한의용생체공학회:의공학회지
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• 제24권1호
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• pp.1-8
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• 2003

장시간 운전을 하는 동안 운전자는 외부상황을 계속해서 주시하고 경계하게 하므로 운전자에게는 정신적 부하로 작용하게 되며 이로 인해 발생하는 운전피로는 자동차 사고의 원인이 될 수 있다. 본 연구에서는 심박변동신호를 분석하여 운전시간의 증가에 따른 발생하는 운전피로도를 알아보았다. 심박변동신호의 분석방법에는 이전 연구들에서 널리 사용되어져 왔던 선형분석방법들과 함께 ApEn, Poincare Plot등을 이용한 비선형 분석방법들을 이용하였다. 3년 이상의 운전경력을 가진 5명의 실험자가 참가하였으며 모든 실험자는 4대의 승용차를 2번씩 운전하여 총 40회의 실험을 실시하였다. 운전구간은 고속도로 300km구간을 왕복해서 주행하도록 하였으며 약 3시간 정도가 소요되었다. 운전하는 동안 30분 간격으로 심전도 데이터를 측정하였다. 측정된 심전도 신호로부터 유도된 심박변동신호(HRV : heart rate variability)로부터 시간영역 변수, 주파수 영역변수, 비선형 특성 등을 구한다음, 안정 상태의 데이터라 비교하여 통계석 유의성을 살펴보았다. 분석결과 시간영역의 변수인 평균심박동수는 운전시간의 증가에 따라 계속적으로 감소하였으며 심박동율의 표준편차와 연속적인 RR간격의 차이는 90분 이후로는 일정 수준을 유지하였다. 주파수 영역에서 구한 L $F_{norm}$, LF/HF는 운전시간에 따라 증가함을 보였다. 비선형 특성을 알아보기 위해서 ApEn, Poincare plot을 이용하였는데 모두 시간에 따라 감소함을 나타내었다. 대부분의 변수에서 통계적 유의성은 1시간 이후부터 나타남을 볼 수 있었다.

• 한국안전학회지
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• 제27권5호
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• pp.22-29
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• 2012

Robot related injuries in industrial accidents statistics during 2008~2010 have accounted for a total of 109 cases equivalent to 30~40 cases for each of those years. The number of injured compared to the dissemination of industrial robots(51,302 units/2004) can be regarded as quite low. However, the fatal injuries sustained by 7 (6.4%) out of 109 cases paints the stark reality of robot-related accident fatalities. It is a sad probability that as the automation process expands its use of industrial robots which have increased significantly in demand, the incidence of workplace accidents will also increase. Therefore, the incidence of accidents throughout the period of 2008~2010 has been analysed to prevent the injuries due to the increased use of industrial robots. In the analysis, the injuries occurred during the industrial robot operation accounted for 45.9% of the entire accidents. Thus, we examined the present status of the industrial robot operation to analyze the root cause of accidents occurred in our studied time period. We looked at a total of 469 workplaces. 456 workplaces responded in the year 2009 and survey studies were implemented at 13 of the 29 workplaces where work injuries were sustained in the year 2010. Even where protective measures and interlock devices were in place, our studies indicated that workers could access the robot area to perform the tasks in 188 sites(40.1%). Also, the 143 sites(30.5%) had control measures and equipment located in the safety fence. In addition, the robots found at 164 sites(35.0%) could be restarted without additional restarting operation. These three causes accounted for most of the workplace injuries during the industrial robot operations. Futhermore, we confirmed the fact that the protective measures of the current safety regulations were not strictly enforced. Based upon our studies and the investigation of the present status of the industrial robot operation, higher standards in training and supervision of workers in the robot operation must quickly be met in order to prevent these industrial injuries.

• 한국안전학회지
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• 제35권4호
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• pp.64-73
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• 2020

As Korean government and safety-related organizations make continuous efforts to reduce the number of industrial accidents, accident rate has steadily declined since 2010, thereby recording 0.48% in 2017. However, the number of fatalities due to industrial accidents was 1,987 in 2017, which means that more efforts should be made to reduce the number of industrial accidents. As an essential activity for enhancing the system safety, accident analysis can be effectively used for reducing the number of industrial accidents. Accident analysis aims to understand the process of an accident scenario and to identify the plausible causes of the accident. Accident analysis offers useful information for developing measures for preventing the recurrence of an accident or its similar accidents. However, it seems that the current practice of accident analysis in Korean manufacturing companies takes a simplistic accident model, which is based on a linear and deterministic cause-effect relation. Considering the actual complexities underlying accidents, this would be problematic; it could be more significant in the case of human error-related accidents. Accordingly, it is necessary to use a more elaborated accident model for addressing the complexity and nature of human-error related accidents more systematically. Regarding this, HFACS(Human Factors Analysis and Classification System) can be a viable accident analysis method. It is based on the Swiss cheese model and offers a range of causal factors of a human error-related accident, some of which can be judged as the plausible causes of an accident. HFACS has been widely used in several work domains(e.g. aviation and rail industry) and can be effectively used in Korean industries. However, as HFACS was originally developed in aviation industry, the taxonomy of causal factors may not be easily applied to accidents in Korean industries, particularly manufacturing companies. In addition, the typical characteristics of Korean industries need to be reflected as well. With this issue in mind, we developed HFACS-K as a method for analyzing accidents happening in Korean industries. This paper reports the process of developing HFACS-K, the structure and contents of HFACS-K, and a case study for demonstrating its usefulness.

• 대한원격탐사학회:학술대회논문집
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• 대한원격탐사학회 2006년도 Proceedings of ISRS 2006 PORSEC Volume II
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• pp.827-830
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• 2006

The tsunami from the megathrust earthquake magnitude 9.3 on 26 December 2004 is the largest tsunami the world has known in over forty years. This tsunami destructively attacked 13 countries around Indian Ocean with at least 230,000 fatalities, displaced people 2,089,883 and 1.5 million people who lost their livelihoods. The ratio of women and children killed to men is 3 to 1. The total damage costs US$ 10.73 billion and rebuilding costs US$ 10.375 billion. The tsunami's death toll could have been drastically reduced, if the warning was disseminated quickly and effectively to the coastal dwellers along the Indian Ocean rim. With a warning system in Indian Ocean similar to that operating in the Pacific Ocean since 1965, it would have been possible to warn, evacuate and save countless lives. The best tribute we can pay to all who perished or suffered in this disaster is to heed its powerful lessons. UNESCO/IOC have put their tremendous effort on better disaster preparedness, functional early warning systems and realistic arrangements to cope with tsunami disaster. They organized ICG/IOTWS (Indian Ocean Tsunami Warning System) and the third of this meeting is held in Bali, Indonesia during $31^{st}$ July to $4^{th}$ August 2006. A US$ 53 million interim warning system using tidal gauges and undersea sensors is nearing completion in the Indian Ocean with the assistance from IOC. The tsunami warning depends strictly on an early detection of a tsunami (wave) perturbation in the ocean itself. It does not and cannot depend on seismological information alone. In the case of 26 December 2004 tsunami when the NOAA/PMEL DART (Deep-ocean Assessment and Reporting of Tsunami) system has not been deployed, the initialized input of sea surface perturbation for the MOST (Method Of Splitting Tsunami) model was from the tsunamigenic-earthquake source model. It is the first time that the satellite altimeters can detect the signal of tsunami wave in the Bay of Bengal and was used to validate the output from the MOST model in the deep ocean. In the case of Thailand, the inundation part of the MOST model was run from Sumatra 2004 for inundation mapping purposes. The medium and high resolution satellite data were used to assess the degree of the damage from Indian Ocean tsunami of 2004 with NDVI classification at 6 provinces on the Andaman seacoast of Thailand. With the tide-gauge station data, run-up surveys, bathymetry and coastal topography data and land-use classification from satellite imageries, we can use these information for coastal zone management on evacuation plan and construction code.

• 대한임상독성학회지
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• 제10권1호
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• pp.15-21
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• 2012

Purpose: Toxic alcohols are responsible for accidental and suicide motivated poisonings, resulting in death or permanent sequelae for the afflicted patients. Major therapeutic modalities in these cases include treatment with alcohol dehydrogenase inhibitors and extracorporeal elimination. There have been a number of case reports of toxic alcohol intoxication in Korea. The purpose of this study was to review the clinical characteristics of patients suffering toxic alcohol intoxication. Methods: We retrospectively reviewed the medical records of patients who presented with toxic alcohol intoxication at 8 emergency departments (ED) from Jun 2005 to Nov 2011. Patients who ingested methanol, isopropyl alcohol, ethylene glycol, and other alcohols except ethanol, were included in this study. The clinical characteristics of these patients were analyzed to include anion and osmolar gap, and estimated concentration of alcohol in the body. Results: During the study period, 21 patients were identified who had ingested toxic alcohol (methanol; 12 patients, ethylene glycol; 9 patients). At ED arrival, the mean anion gap was $18.7{\pm}6.9$ and the osmolar gap was elevated in 13 patients. Oral and IV ethanol were administrated to 11 patients in order to inhibit alcohol dehydrogenase. Extracorporeal elimination procedures such as hemodialysis were performed in 9 patients. There were no fatalities, but the one patient suffered permanent blindness. Conclusion: This study found that ethylene glycol and methanol were the substances ingested which produced toxic alcohol intoxication. The patients presented with high anion gap metabolic acidosis and were typically treated with oral ethanol and hemodialysis.