• Title/Summary/Keyword: 손상 사례

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Indications and Estimations of the Needs for Direct Medical Control in the Patients Transported by 119 Rescuers (119 구급대에 의해 이송된 환자들 중 직접적 의료지도가 필요한 범위와 그에 따른 수요 추정)

  • Park, Jae-Young;Jung, Koo-Young;Bae, Hyun-A
    • Fire Science and Engineering
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    • v.20 no.3 s.63
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    • pp.42-47
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    • 2006
  • Direct medical control by medical doctors is an essential part of emergency medical services system (EMSS). However, the indications are not specifically defined, even in 119 system with their own medical control team. The Seoul Metropolitan Fire and Disaster Management Department has operated internal medical consultation services on its own since January 2004. Based on the experiences from these services, we reviewed the cases of the direct medical consultation and establish the indications for direct medical control. And we presumed the demand of direct medical control with the established indications. The crews of 119 in Seoul made 793 calls to Medical Control Team during November 2004. We reviewed all of the calls according to the level of consciousness (AVPU), the kinds of emergency care done by crews during transport (10 categories), and the mechanisms of injuries (9 categories). The need for direct medical control was judged by authors with reviewing the records reported by the crews and control teams. Among 23 items, 14 items assigned as the indications, which were abnormal level of consciousness (VPU), 6 kinds of emergency care, and 5 mechanisms of injures. The sum of the three of them, 7,782 cases (45.9%), was in need of direct medical control. In conclusion, about half of the patients transported by 119 crews in Seoul require direct medical control. The need for the direct medical control in Seoul was estimated as many as 260 calls per day. To fulfill the need for direct medical control and to provide a effective medical control, the direct medical control should be accomplished through the communications between the crews and the medical staffs in the local hospitals.

Open Markets and FDS(Fraud Detection System) (오픈마켓과 부당거래 방지 시스템)

  • Yoo, Soon-Duck;Kim, Jung-Ihl
    • The Journal of the Institute of Internet, Broadcasting and Communication
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    • v.11 no.5
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    • pp.113-130
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    • 2011
  • Due to the development of information and communication technology, the global influence on politics, economics, society, and culture has grown. A major example of this impact on the economic sector is the growth of e-commerce, which increases both the speed and efficiency of businesses. In light of these new developments, businesses need to shift away from the misconception that information overwhelms to embrace the enhanced competitiveness that e-commerce provides. However, concern about fraudulent transactions through e-commerce is pertinent because of the loss in both critical revenue and consumer confidence in open markets. Current solutions for fraudulent transactions include real-time monitoring and processing, payment pending, and confirmation through SMS, E-mail, and other wired means. Our research focuses on the management of Fraud Detection Systems (FDS) to safeguard online electronic payment systems. With effective implementation of our research we hope to foster an honorable online trading culture and protect consumers. Future comparative research in domestic and abroad markets would provide further insight into preventing fraudulent transactions.

Preservation Values and Effects on Cleaning and Adhesive Agents for Plastic Artifacts (플라스틱 작품의 보존 가치 및 세척제와 접착제의 효능 평가)

  • Chung, Yong Jae;Yu, Ji A;Kang, Dai Ill
    • Journal of Conservation Science
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    • v.29 no.2
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    • pp.127-138
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    • 2013
  • Plastic, widely used as a material for contemporary art, get damaged as directly exposed to temperature, humidity, ultra violet, etc. And it is very quickly damaged in early time, once damaged, it can't recover into original state. But like this characteristics, there is a few advanced research in Korea. So this study deal with a rising value of plastic artifacts in other country, United Kingdom and France, current conservation state, identification and cleaning method. Also 5 types of cleaners(distilled water, ethanol, acetone, eraser) and adhesives(cyanoacrylate, epoxy, acrylic, chloroprene rubber) were evaluated by produced plastics(PVC, PE, PP, PS, PU). As a result of experiment, ethanol and acetone that were previous evaluated in other research performed in other country are the best cleaner. Result of degradation after adhesive, cyanoacrylate and epoxy resin showed better performance and stability. As a basic research, this study is expected that can be used in future researches.

Case History of Sea Dyke Filter Construction Using Geotextile Tube Mattress (튜브형 매트리스를 활용한 방조제 필터공 축조사례연구)

  • Oh, Young-In;Yoo, Jeon-Yong;Kim, Hyun-Tae
    • Journal of the Korean Geosynthetics Society
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    • v.6 no.1
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    • pp.9-16
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    • 2007
  • Geotextile is one of the most useful and effective polymer material in civil construction works and the main function of geotextile is separation, reinforcement, filtering and drainage. Recently, because of the shortage of natural rock, traditional forms of river and coastal structures have become very expensive to build and maintain. Therefore, the materials used in hydraulic and coastal structures are changing from the traditional rubble and concrete systems to the cheaper materials and systems. One of these alternatives employs geotextile tube technology in the construction of coastal and shore protection structures, such as embankment, see dyke, groins, jetties, detached breakwaters and so on. Geotextile tube technology has changed from being an alternative construction technique and, in fact, has advanced to become the most effective solution of choice. This paper presents case history of sea dyke filter construction using geotextile tube mattress and also, various issues related to the tube mattress design and construction technology.

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The State Attribute and Grade Influence Structure for the RC Bridge Deck Slabs by Information Entropy (정보 엔트로피에 의한 RC 교량 상판의 상태속성 및 등급 영향 구조 분석)

  • Hwang, Jin-Ha;Park, Jong-Hoi;An, Seoung-Su
    • Journal of the Computational Structural Engineering Institute of Korea
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    • v.23 no.1
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    • pp.61-71
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    • 2010
  • The attributes related to the health condition of RC deck slabs are analyzed to help us identify and rate the safety level of the bridges in this study. According to the related reports the state assessment for the outward aspects of bridges is the important and critical part for rating the overall structural safety. In this respect, the careful identification for the various state attributes make the field inspection and structural diagnosis very effective. This study analyzes the influence of the state attributes on evaluation classes and the relationship of them by the inductive reasoning, which raise the understanding and performance for evaluation work, and support the logical approach for the state assessment. ID3 algorithm applied to the case set which is constructed from the field reports indicates the main attributes and the precedence governing the assessment, and derives the decision hierarchy for the state assessment.

프레스다이용 코일스프링의 신뢰성평가 및 고장분석 사례 발표

  • Go, Se-Hyeon;Park, Sang-Yong;Jang, Jin-Man;Lee, Won-Sik
    • Proceedings of the Korean Reliability Society Conference
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    • 2006.05a
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    • pp.239-246
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    • 2006
  • 프레스다이용 코일스프링은 자동차 및 전자제품의 외형생산에 필요한 금형 내에 장착되는 금형용 스프링으로서 녹아웃 및 스트리퍼 등에 사용되고 있다. 프레스다이용 코일스프링이 사용 중 파손 시에는 고가인 금형의 손상 및 생산성에 영향을 미칠 수도 있기 때문에 사용 환경에서의 신뢰성확보가 요구되어지고 있다. 특히 중(重)하중 및 극중(極重)하중용 스프링은 과거 현장에서 파손사례가 자주 발생함으로 인해 외산을 선호하는 경향이 있는 형편이다. 이에 국산 스프링의 신뢰성검증 및 확보를 위해 신뢰성기반구축사업을 통해 신뢰성평가기준(RS D 0014)가 제정되었으며, 이 평가기준에 의거하여 국내 업체의 제품에 대해 신뢰성평가를 실시하였다. 프레스다이용 코일스프링의 파손원인은 주로 반복하중에 의한 피로파손과 일정한 변위의 변형으로 발생하는 코일스프링 자유높이의 축소로 크게 구분되어질 수 있다. 시험결과 주 파손양상은 피로에 의한 균열발생이었으며, 코일 끝단부와 끝단부 직하부의 코일과의 마찰에 의한 균열발생이 주원인이었다. 즉, 코일의 끝단면과 직하면 코일이 연속적으로 부딪침으로써 발생한 변형 및 마모에 의해 표면균열이 발생하고, 표면균열에서 반복적인 부하하중이 가해짐으로써 피로균열 진전을 통해 점차적으로 파손이 진행되어졌음을 알 수 있었다. 본 발표에서는 기준에 의거하여 로하중용 프레스 다이용 코일스프링을 평가한 신뢰성평가시험 결과에 대해 보고하고, 파단면 관찰과 외산제품과의 미세조직 및 조성 등의 비교분석결과 등을 기초로 파손원인을 분석한 결과에 대해 보고하고자 한다.제고할 수 있을 것으로 기대한다.X>$CdCl^+,\;CdSO_4$ 등이 형성되었다. 수은의 경우는 해수 및 증류수를 용출용매로 이용한 모든 경우에서 납, 구리, 카드뮴과는 달리 대부분 침전하였다. 더욱이 해수에 존재하는 고농도 염소($Cl^-$)와의 수착으로 인해 finite solid인 calomel($Hg_2Cl_2$)이 형성되어 대부분 침전(SI=0)되기 때문에 납, 구리, 카드뮴 보다 더 낮은 환경이동성을 갖을 것으로 사료된다. 상기 실험결과 용출용매로 증류수와 해수를 이용했을 때, 제강 슬래그에서 용출되는 납, 구리, 카드뮴, 수은의 용출 경향의 차이를 확인할 수 있었고 이에 따라서, 납, 구리, 카드뮴의 용출 유해성은 낮기 때문에 해양구조물로의 제강슬래그 유효이용은 적합할 것으로 판단되었다.im80%$로 계산되었다. 열형광선량계로 측정된 방사선량은 각각 1.8, 1.2, 0.8, 1.2, 0.8 (70 cm 거리) cGy로 측정되었으며, 환자의 복부 표면에서의 서베이메터를 이용한 측정량은 10.9 mR/h였다. 차폐구조물의 사용 시 전체 치료 동안에 태아선량은 약 1 cGy 정도로 평가되었다. 결론 : AAPM Report No.50의 자료에 따르면, 임산부의 방사선 치료 시 태아의 방사선 피폭선량은 5 cGy 이하일 경우에 방사선 피폭에 따른 태아의 위험이 거의 없는 것으로 제시되고 있다. 본원에서 차폐 구조물을 설치하였을 경우에 측정된 태아선량은 약 1 cGy로 측정되었고, 고안된 차폐구조물

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A Criminal Legal Study in the Protecting the Right of Surgical Patients - Self-Determination of Patients - (수술환자의 권리보호에 대한 형사법적 쟁점 - 환자의 자기결정권을 중심으로 -)

  • Yoo, Jae Geun
    • The Korean Society of Law and Medicine
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    • v.16 no.2
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    • pp.3-26
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    • 2015
  • Recently, Practicing of ghost surgery and duty of informed consent of doctors have become a big issue in the medical dispute and lawsuits. The ground of admitting the informed consent and the agreement(self-determination of patients) can be based on the dignity of man and the right to pursue his happiness guaranteed under Article 10 of the constitution in theory. However there are no explicit legal regulations on the duty of the informed consent and there is no substantive legal enactment on the informed consent, but there is a collision between self-determination of patients and the discretionary power of doctors. If the discretionary power on the duty of the informed consent was extended it may result in the infringement of the right of surgical patients, so called arbitrary medical treatment. Relating to this issue, New Jersey Supreme Court held that a patient has the right to determine not only whether surgery is to be performed on him, but also who shall perform it. Moreover it held that a surgeon who operates without the patient's consent engages in the unauthorized touching of another and, thus, commits a battery'. But there are no ghost surgery cases adopting battery theory in Korea, and professional negligence has been considered rather than the battery, regarding an absence of hostile intent to injure patient. Supreme Court of Korea held that a doctor who operates a medical procedure without the patient's valid prior consent based on wrong diagnosis commits professional negligence resulting in injury, and the patient's invalid consent do not preclude wrongfulness'. However, if a health care provider conducts a completely non-consensual treatment or substitute surgeon without consent, the action should be plead in battery, not negligence, but if a health care provider violate his duty of care in obtaining the consent of the patient by failing to disclosure all relevant information (risks) that a reasonable person would deem significant in making a decision to have the procedure, the action should be plead in negligence, not battery. Therefore, the scope of patients' self-determination can be protected by stating clearly the scope of the duty of the informed consent and the exemption of the informed consent legislatively, it is considered that it is valid to legislate the limitation of the discretionary power.

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International Research Status on Spent Nuclear Fuel Structural Integrity Tests Considering Vibration and Shock Loads Under Normal Conditions of Transport (정상운반조건의 진동 및 충격하중을 고려한 사용후핵연료의 구조적 건전성 시험평가 해외연구현황)

  • Lim, JaeHoon;Cho, Sang Soon;Choi, Woo-seok
    • Journal of Nuclear Fuel Cycle and Waste Technology(JNFCWT)
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    • v.17 no.2
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    • pp.167-181
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    • 2019
  • Currently, the development of evaluation technology for vibration and shock load characteristics and spent nuclear fuel structural integrity under normal conditions of transport is being conducted in the Republic of Korea. This is the first such research conducted in the Republic of Korea and, thus, previous international studies need to be investigated and will be referred to in the ongoing project. Before 2000, several studies related to measurement of vibration and shock loads on spent nuclear fuel were conducted in the US. US national research institutes conducted uniaxial fuel assembly shaker tests, concrete block tests, and multi-axis fuel assembly tests between 2009 and 2016. In 2017, multi-modal transportation tests including road, sea, and rail transport were also performed by research institutes from the US, Spain and the Republic of Korea. Therefore, test preparation procedures, acceleration and strain measurement results, and finite-element and multi-body dynamics analysis were investigated. Based on the measured strain data, the preliminary conclusion was obtained that the measured strain was too small to cause damage to spent nuclear fuel rods. However, this conclusion is a preliminary conclusion that only reviews part of the results; a detailed review is being conducted in the US. The investigation of international studies on spent nuclear fuel structural integrity tests considering vibration and shock loads under normal conditions of transport in the US will be useful data for the project being conducted in the Republic of Korea.

Study of the method of production of excavated arrow bundle and its conservation treatment (발굴 출토 화살다발 제작기법 연구 및 보존처리)

  • Lee, Byeonghoon;Choi, Bobae;Huh, Ilgwon
    • Conservation Science in Museum
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    • v.25
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    • pp.9-26
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    • 2021
  • This paper describes the production methods that were originally used for an arrow bundle excavated from a Bronze Age residential area in Auraji in Jeongseon, Gangwon-do Province and the conservation treatment process that it subsequently underwent. An arrow conventionally consists of an arrowhead and a shaft. It is rare to excavate a shaft along with an arrowhead in a complete form since the shaft is made of organic materials. Notably, the arrow bundle from the Auraji site is of great significance as it shows traces of tangless stone arrowheads attached to charred shafts and offers an important case of the split end of a piece of a tree being inserted into an arrowhead. For a further examination of the characteristics of the arrows from Auraji, microscopic investigation was conducted and the type of wood used for the arrow shafts was examined. The sequence and direction of processing and the particle sizes of the grinding tools were revealed through the analysis of traces of grinding on the stone arrowheads. The shaft is presumed to have been made from a green length of three-year-old willow (Salix spp.). A curing agent with a high degree of waterproofing and reversibility was used during the on-site curing process according to demands of the surrounding environment, and a technique that the authors call the "Bridge" method was used for emergency collection of the relics. Once the bundle was transferred to the conservation treatment lab, reinforcing materials were carefully chosen as it was important not to damage the relics during the process of turning them for the repair of their reverse sides. For this purpose, artificial clay was selected since it can safely bear a load and has excellent physical properties. Finally, detached parts were rejoined, the relics and their surrounding materials were cleaned, and the bottom sides were finished with epoxy resin prior to the display of the relics at the museum.

Does the Health Supplement HemoHIM Cause Liver Injury? (건강기능식품 헤모힘이 간손상을 일으키는가?)

  • Seok Jeong Yang;Jeong-Sook Park;Byung-Sun Kim;Kwang-Jae Lee
    • Journal of Industrial Convergence
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    • v.21 no.6
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    • pp.37-42
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    • 2023
  • This study aimed to examine the safety of HemoHIM, a dietary supplement containing methoxsalen. HemoHIM is a dietary supplement marketed globally, and a competitor to ginseng. It has been reported to contain methoxsalen, a plant extract for treating psoriasis and vitiligo. Methoxsalen is known to cause hepatotoxicity, but most of the cases has been reported from ingestion as a drug, not a food. There are no reports of hepatotoxicity from the consumption derived from natural products such as Angelica gigas, Cnidium officinale, and Paeonia lactiflora, which are the main ingredients in the HemoHIM. However, a recent case of acute hepatitis was reported in Hong-Kong after ingestion of HemoHIM. It is difficult to conclude that hepatitis was caused by HemoHIM, because there was no check of co-occurring medications with a higher risk of hepatotoxicity, no description of the progress, no quantitative comparison of methoxsalen in HemoHIM to it in common foods such as carrots and celery, and no description of the patient's underlying diseases. On the other hand, there was a study that suggest hemoHIM is safe, and that study had adequate number of subjects even though more studies are needed to ensure safety.