• Structural Engineering and Mechanics
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• 제82권2호
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• pp.233-244
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• 2022

Following a loss of control, the impact against a road barrier in a turn predominates among the most severe motorcyclist accidents. These road restraint devices can be equipped with a motorcycle screen, the function of which is to restrain the rider and minimize the consequences of the impact in terms of the severity of injuries. The performance of these screens is evaluated by the European normative procedure EN1317-8, which specifies the test conditions, based on one or two configurations. In practice, however, these impact conditions are very diverse, difficult to extrapolate from accident analysis and therefore poorly investigated. This study is interested in improving knowledge of these impact conditions in terms of impact speed, impact angle and particularly position of the rider. A finite element model has been developed to simulate the dynamic behavior of the rider from loss of control to impact on the screen. Statistical analysis of the results shows a high variability of the impact conditions, in particular with regard to the direction of turn (to the right or to the left). Some improvements are suggested in order to overcome the limitations inherent in standard procedures.

• 대한중풍순환신경학회지
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• 제16권1호
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• pp.49-56
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• 2015

This patient was 18 year-old man who had severe nausea, vomiting, stomachache but medical examination revealed no abnormality. The symptom lasted for 2 months and he lost 15kilograms. The patient had no underlying diseases. He was treated by korean medicine, containing acupuncture, cupping therapy and herb medicines during 9 days. The severity of nausea was scored by the Numerous Rating Scale and the frequency of vomitng was evaluated by count. After that period, patient's symptom was improved and his other conditions were also better, compared with his admission. This study suggests that Korean medicine could have a therapeutic effect for nausea, vomiting, stomachache and rapid weight loss that the cause has not been diagnosed by Western medicine. It could help to improve patient's symptoms and make general conditions better.

• 한국도로학회논문집
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• 제11권2호
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• pp.195-203
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• 2009

본 연구는 교통사고의 발생 유형과 교통사고 심각도(Severity)와의 관계를 규명함으로써 위험유형을 제시하고, 운전자 특성과 교통사고의 관계를 규명하고자 하였다. 교통사고 유형을 여덟 가지로 세분하고, 결과의 객관성 확보를 위해 안전벨트 착용여부를 추가하여 상해정도와의 관계를 분석하였으며, 위험그룹의 분류를 위한 운전자의 특성은 성별, 차종, 연령 등을 대상으로 하였다. 카테고리 자료의 분석을 위하여 로그-선형 모형 및 로짓 모형을 사용하였다. 분석결과 사고유형과 심각도와의 관계에서는 정면충돌 사고와 앞지르기시, 우회전시 사고가 부상 또는 사망사고에 연루될 가능성이 높았다. 위험그룹 분석에서는 20세 미만의 이륜차 운전자, 41세에서 50세까지의 택시 운전자가 가장 위험한 집단으로 분석되었으며 또한 남자보다는 여자가 승용차와 중형화물 등에 관계되었을 때 더 위험한 것으로 분석되었다. 따라서 교통사고 발생시 인명 피해를 줄이기 위해서는 정면충돌 사고와 앞지르기시, 우회전시 발생하는 사고를 줄일 수 있는 방안이 연구되어야 하고, 교통사고 취약계층으로 분석된 위험그룹에 대한 교통안전 교육 및 단속이 강화되어야 할 것이다.

• 한국정보과학회논문지:정보통신
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• 제28권4호
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• pp.517-526
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• 2001

현재의 인터넷 라우터는 Drop tail 방법으로 패킷을 처리한다. 따라서 네트워크 트래픽의 지수적인 증가로 인한 혼잡상황 때문에 많은 패킷이 손실 될 수 있다. 이러한 문제를 해결하기 위해 IETF(Internet Engineering Task Force)에서는 RED(Random Early Detection)와 같은 능동적인 큐 관리 알고리즘을 제시하였다. 이러한 알고리즘은 라우터나 게이트웨이에서 발생할 수 있는 네트워크 혼잡상황을 개선하여 전체적인 패킷 손실을 줄여 줄 수 있다. 그러나 RED 알고리즘의 경우 큐 크기의 변화 정보로 혼잡상황을 판단하고 제어하기 때문에 동적으로 변화하는 현재의 인터넷 트래픽 대한 혼잡상황 제어에 있어서 개선의 필요성이 있다. 본 논문에서는 이러한 RED 알고리즘의 문제를 보완하기 위해서 기존의 RED 알고리즘을 개선한 MRED(Modified Random Early Detection) 알고리즘을 제안했다. 제안한 알고리즘은 간단하게 폐기(drop) 확률을 구하는 RED에 비하여 휴리스틱 (heuristic)한 방법을 적용하여 보다 동적으로 폐기 확률 값을 계산한다. MRED 알고리즘의 성능을 검증하기 위해서 실힘을 통하여 기존의 큐 관리 방법과 성능을 비교하였고 리눅스 커널에 MRED를 구현하여 성능을 분석하였다.

• Journal of Korean Neurosurgical Society
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• 제61권5호
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• pp.600-607
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• 2018

Objective : It has been reported in recent studies that 50-80% of patients with cervical disc hernia have concomitant sleep disorders. The aim of this study was to evaluate the quality of sleep before and after surgical treatment in patients with cervical disc hernia and to assess the effects on treatment. Methods : The study included 32 patients performed discectomy and fusion with an intervertebral cage through the right anterior cervical approach. Oswestry Disability Index (ODI), Visual Analog Scale (VAS) and Pittsburgh Sleep Quality Index (PSQI) were applied to all patients preoperatively and at one month postoperatively. Results : The postoperative PSQI total points and all the PSQI subscale points, the ODI and VAS scores were significantly reduced compared to the preoperative values. A positive correlation was determined between the preoperative ODI points and the PSQI total points and sleep duration, sleep latency and daytime functional loss subscale points. A positive correlation was also found between preoperative ODI points and VAS points. A positive correlation was determined between the preoperative VAS points and and the PSQI total points and sleep duration, and sleep latency subscale points. A negative correlation was determined between the postoperative ODI and the daytime functional loss subscale points. Conclusion : The results of the study showed that in patients with cervical disc hernia, sleep quality and daytime functionality were negatively affected by severity of pain that limited daily activities. Bringing the pain under control with surgical treatment was observed to increase sleep quality. It can be concluded that when planning treatment for these patients, it should be taken into consideration that there could be a sleep disorder in addition to the complaints and symptoms such as pain, hypoestesia and loss of strength.

• Journal of Trauma and Injury
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• 제22권1호
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• pp.97-102
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• 2009

Purpose: Blunt trauma can cause a wide range of ocular injuries. This study was performed to describe the prevalence of severe intraocular injuries (SIOI) and their correlation with the severity of blunt orbital trauma. Methods: We retrospectively analyzed 117 eyes of 107 patients with orbital wall fractures who visited the emergency room at Konyang University Hospital from July 2006 to June 2008. Clinical features such as age, sex, causes of injury, revised trauma score (RTS), type of orbital wall fractures were recorded. The patients were divided into two groups: blowout fracture with severe intraocular injuries (SIOI) and blowout fracture without SIOI. We compared the clinical and the injury-related characteristics between two groups and analyzed the SIOS-related factors. Results: Among the 107 patients (117 eyes) with blowout fractures, 29 (27.1%) patients with 32 eyes (25.6%) had complicated severe intraocular injuries. Retrobulbar hemorrhage (14.5%), hyphema (13.7%), traumatic optic nerve injury (4.3%), and sustained loss of visual acuity (4.3%) were the most common SIOI disorders. A logistic regression analysis revealed that loss of visual acuity (odds ratio = 4.75) and eyeball motility disorder (odds ratio=7.61) were significantly associated with SIOS. Conclusion: We suggest that blowout fracture patients with loss of visual acuity or eyeball motility disorder are mostly likely to have severe intraocular injuries, so they need an ophthalmologic evaluation immediately.

• 한국전문물리치료학회지
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• 제18권1호
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• pp.18-27
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• 2011

This study was to investigate the positive effects of specially designed trunk-stabilization exercise program on lower extremity balance of elderly with history of leprosy. In this participants, lower extremity functions has been undermined by the development of damage in peripheral nerves. A total of 40 elderly with history of leprosy were divided into 2 groups of equal size ($n_{1,\;2}=20$): a group that participated in the exercise program, and a control group that did not exercise but did continue to engage in normal daily activities (including walking). The exercise group exercised for 60 minutes 2 days a week for 12 weeks. Static balance ability was measured by asking study participants to a one leg standing test: dynamic balancing ability was measured with a tandem walking test and a timed up-and-go test. The participants in the exercise program and the control group were tested before and after completion of the exercise program for comparison, and then divided according to their ability to feel sensory in the soles of their feet into the categories of normal sensory group: group with sensory loss in one foot: and group with sensory loss in both feet. The participants in the exercise program showed a positive, statistically significant difference in static balance compared with the control group (p<.05) as measured using the one leg standing test. Similarly, the participants in dynamic balance (p<.05) as measured using the tandem walking and timed up-and-go tests. Finally, these improvements were related to the severity of sensory loss in the soles of the feet for all study participants.

• 한국환경보건학회지
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• 제49권4호
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• pp.228-235
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• 2023

Background: As the public interest in chemical substances found in daily life has increased, environmental health education content has been developed and related studies have been conducted. However, there is still insufficient research on methodologies for environmental health education. Objectives: This study aimed to explore risk communication strategies by focusing on N-nitrosamines in rubber balloons. Methods: In this study, two different health messages were composed: a gain-framed message emphasizing the advantages of practicing the health behavior and a loss-framed message emphasizing the negative consequences of not practicing the health behavior. The effect of the message containing risk information was evaluated by measuring the health beliefs and health behavior potential for female caregivers. As the Environmental Health Act defines a child as "a person under the age of 13," a total of 131 women with children under the age of 13 were studied. Results: The age, awareness, and interest of the participants in the gain frame group and these in the loss frame group were similar. In terms of message framing effect, the gain-framed message was more effective in terms of health belief and potential health behavior than was the loss-framed message. As a result of an independent t-test, among the six variables of health belief model the message effect was statistically significant at the level of p<0.05 in three variables: perceived severity (t=2.287, df=129, p=0.024), self-efficacy (t=2.123, df=129, p=0.036), and health behavior potential (t=2.094, df=129, p=0.038). Conclusions: This study presented a direction for effective environmental health education by studying the effects of risk communication messages based on scientific evidence. It is necessary to extend the scope of environmental health education research by expanding research into various household products.

• Journal of the Korean Association of Oral and Maxillofacial Surgeons
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• 제49권5호
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• pp.262-269
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• 2023

Objectives: Anterior maxillary sinus wall fractures are common in all types of maxillofacial trauma. They can result in various complications, including injury to the surrounding nerves. Owing to its anatomy, trauma to the maxillary antrum can result in injury to the middle superior alveolar nerve (MSAN) and the anterior superior alveolar nerve (ASAN). The purpose of this study is to evaluate neurosensory deficits (NSD) present in maxillary gingiva, incisors, and premolars after injury to the anterior wall of the maxillary antrum. Materials and Methods: This prospective study was conducted among 39 patients sustaining unilateral fractures of the anterior maxillary sinus wall. Clinical neurosensory tests including two-point discrimination and fine touch discrimination were performed to classify the extent of nerve injuries as mild, moderate, severe, or anesthetic. Additional temperature discrimination and pulpal sensibility tests (electric pulp testing and cold testing) were carried out. A comparison of radiographic fracture patterns and severity of nerve injury was done. Testing was carried out immediately after trauma and at 2-month follow-up. Results: More than half of the patients assessed in the study group presented with NSD of the teeth and gingiva after trauma. The incidence of deficits varied with the type of test used to measure them. Most frequently, patients presented with both loss of two point as well as fine touch discrimination thresholds. Severe nerve injuries were associated with loss of temperature discrimination clinically and displaced fractures radiographically. There was no significant relationship between the recovery of pulpal and gingival sensation. The patterns of injury and recovery in ASAN and MSAN were similar. Conclusion: NSD after trauma to the maxillary antrum is relatively common. Clinical loss of temperature discrimination and radiographic signs of fracture lines passing through the canalis sinuosus are predictors of persistent and severe oral NSD.

• Clinical Nutrition Research
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• 제12권3호
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• pp.177-183
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• 2023

Bariatric surgery is the most effective treatment for sustained weight reduction, and it can result in substantial improvements in the severity of type 2 diabetes, metabolic syndrome, nonalcoholic fatty liver disease, and quality of life. However, sleeve gastrectomy, a weight loss surgery that removes two-thirds of the stomach, reduces appetite and nutrient absorption, impairing digestion and the absorption of nutrients like iron, vitamin B₁₂, and protein-bound nutrients. This case study aims to demonstrate that patients undergoing sleeve gastrectomy require long-term and periodic monitoring of biochemical data, weight changes, and caloric and protein intake by a professional nutritionist to prevent malnutrition and nutritional deficiencies. In this case study, a 48-year-old woman was diagnosed with morbid obesity, hypertension, sleep apnea syndrome, and chronic gastritis. At initial evaluation, she was 160 cm tall and weighed 89 kg, with a body mass index of 34.8 kg/m². At 1 postoperative year, she consumed 650 kcal and 25 g of protein per day, the percentage of excess weight loss was 141.1%, and body mass index was 21 kg/m². Compared to preoperative levels, calcium and folic acid levels did not decrease after 1 postoperative year, but hemoglobin, ferritin, and vitamin B₁₂ levels decreased. In conclusion, when patients experience rapid weight loss after sleeve gastrectomy, follow-up should be frequent and long. Dietary education should be conducted according to digestive symptoms, and oral nutritional supplements, including vitamins and minerals.