• Journal of Korean Society of Transportation
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• v.23 no.3 s.81
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• pp.49-57
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• 2005

This study developed a methodology for estimating the fatality reduction by introducing technical regulation on pedestrian protection in pedestrian-vehicle collisions. Modeling a probabilistic pedestrian fatality model with logistic regression approach was one of keen interests, which employed in estimating the fatality reduction. Collision speed obtained from the accident reconstruction was used in the model development. The effects of fatality reduction, in case various Head Injury Criterion (HIC) and collision speeds are applied for the regulation. were presented as the major outcome of this study. It is expected that the outcome of this study would be an invaluable tool to assist in developing various technologies and policies for pedestrian protection.

• Journal of Trauma and Injury
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• v.20 no.1
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• pp.47-51
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• 2007

Penetrating chest trauma caused by the components of one's own car is rare in motor vehicle accidents. We experienced two cases of penetrating chest injury caused by the sideview mirror of the patient's vehicle. One was a 25-year-old man. The sideview mirror penetrated the left chest, went through the diaphragm, and ruptured the spleen. He was in shock upon arrival at the emergency room. An emergency thoracotomy and laparotomy were done. The ruptured spleen was resected, the lung and the diaphragm were debrided and repaired, and the chest wall was reconstructed. The other patient was a 57-year-old male, who was transported to our emergency room with the sideview mirror of his truck stuck into his right chest wall as the result of an accident. He also had a right Bennet's fracture and an open fracture of the right tibia. Air had been sucked into the right pleural cavity through the wound. Multiple rib fractures and lung lacerations had also occurred. Removal of the sideview mirror, repair of the lacerated lung, and reconstruction of chest wall were done immediately. Both patients recovered without complication and were discharged.

• Journal of the Korean Society of Safety
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• v.37 no.6
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• pp.71-80
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• 2022

Since the 2000s, the demand for private demolition works has been gradually increasing as the apartment housing market has been led by redevelopment and reconstruction. In the case of the military, the Ministry of National Defense is consolidating troops from each military unit to reorganize the unit structure in accordance with Defense Reform 2.0; the plan includes reducing the garrison used by each unit to 70% of its current level. Accordingly, the demand for demolition work in the military is also expected to increase. However, the military regulations do not reflect the relevant laws that have been revised recently. This study identifies regulations and system improvements for demolition work suitable for the military based on an analysis of accident cases that have occurred during demolition work, of domestic and foreign laws and regulations related to military demolition work, and of the problems with current military safety management at each stage of planning, design, and construction. The study subsequently proposes improvements for military demolition work, including budget execution adjustment, the establishment of training courses, on-site inspections, the development of guidelines for military demolition work, the provision of risk assessment standards, and the need for the qualification of equipment operators.

• Journal of Trauma and Injury
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• v.36 no.4
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• pp.447-450
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• 2023

Traumatic abdominal wall hernia is a rare presentation, most commonly reported in the context of motor vehicle accidents and associated with blunt abdominal injuries and handlebar injuries in the pediatric population. A 13-year-old boy presented with multiple traumatic injuries and hemodynamic instability after a high-speed motor vehicle accident. His injuries consisted of massive traumatic abdominal wall hernia (grade 4) with bowel injury and perforation, blunt aortic injury, a Chance fracture, hemopneumothorax, and a humeral shaft fracture. Initial surgical management included partial resection of the terminal ileum, sigmoid colon, and descending colon. Laparostomy was managed with negative pressure wound therapy. The patient underwent skin-only primary closure of the abdominal wall and required multiple returns to theatre for debridement, dressing changes, and repair of other injuries. Various surgical management options for abdominal wall closure were considered. In total, he underwent 36 procedures. The multiple injuries had competing management aims, which required close collaboration between specialist clinicians to form an individualized management plan. The severity and complexity of this injury was of a scale not previously experienced by many clinicians and benefited from intrahospital and interhospital specialist collaboration. The ideal aim of primary surgical repair was not possible in this case of a giant abdominal wall defect.

• Journal of Korean Orthopaedic Sports Medicine
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• v.3 no.2
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• pp.128-133
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• 2004

Purpose: This study was planned to evaluate complications? of posterior cruciate ligament (PCL) reconstruction with tibial inlay technique using autogenous bone-patellar tendon-bone graft. Materials and Methods: From September 1994 to January 2004, we analyzed surgical complications in fifty-seven patients with fifty-eight cases who underwent PCL reconstruction. Fifty of them were male and seven female. The mean age of the patients was 35(15$\~$73). Twenty eight cases of injury were isolated PCL, while thirty cases had associated injury of knee. The causes of injury were thirty-nine cases of traffic accident, seven sport injuries, seven fall down injuries, and five of others. The follow-up study was done at 4 weeks, 3 months,6 months and 1 year after surgery. KT-2000 arthrometer and posterior stress X-ray were used to examine the stability of the knee joint and the Lysholm Knee Score and a variety of clinical complications were evaluated. Results: Although the mean score of the preoperative Lysholm Knee Score was 43.2, the postoperative score was increased to 87.9. The preoperative mean value of knee stability using KT-2000 arthrometer was 8.75 mm(6.2$\~$14.3 mm) but the postoperative mean was 3.41 mm(2.1$\~$10.6 mm). The intraoperative complications were: one case of popliteal artery injury with compartment syndrome, one case of patellar fracture, two cases of 20$^{\circ}$ flexion loss, and two cases of anterior cortical penetration of the screw through proximal tibia during screw fixation. The postoperative complications were: eleven cases of knee instability, one case of patellar fracture, five cases of extension loss, thirteen cases of flexion loss, twenty-one cases of around knee pain and eight cases of kneeling pain. Conclusion: After PCL reconstruction with tibial inlay technique using autogenous bone-patella tendon-bone graft, complications were observed in this study. Careful attention during and after the operation, as well as rehabilitation must be required.

• Korean Journal of Construction Engineering and Management
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• v.9 no.2
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• pp.99-107
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• 2008

Rapidly increasing automobile supply rate according to improved economic level of life makes lack of parking space of apartments. Even though the initial design of parking space compiled with old regulations, it may not observe either new laws or requirement of inhabitants. Even if old apartments have no structural durability problem, outworn facilities and insufficient parking area may be a main reason for reconstruction. It causes waste of national resources and makes recycling issues. Additionally, irregularly parked cars make traffic obstruction to a fire engine and result in many fire accident victims. Parking problems of apartments are not only inconvenience but also serious safety issues. From these points of view, remodeling only for parking area expansion is necessary to avoid overall reconstruction of apartments. The purpose of this study is to suggest a retaining wall selection method for apartments underground parking lots expansion without evacuation of resident people. Effect factors to select retaining wall system are analyzed and weight values are calculated by applying AHP. One selection method of retaining wall is proposed by evaluating applicability and its sensitivity analysis is executed. This selection method is expected to help decision-making of retaining wall system selection.

• Journal of Korean Foot and Ankle Society
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• v.18 no.2
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• pp.62-67
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• 2014

Purpose: Reconstructive surgeries for equinocavovarus foot deformities are quite variable, including hind-midfoot osteotomy or arthrodesis, soft tissue procedure, tendon transfers, etc. Comprehensive evaluation of the deformity and its etiology is mandatory for achievement of successful deformity correction. Few studies in this field have been reported. We report on the clinical and radiographic outcome of reconstruction for cavovarus foot deformities. Materials and Methods: The study is based on 16 feet with cavovarus foot deformities that underwent bony and soft tissue reconstructive surgery from 2004 to 2008. We evaluated the etiologies, varieties of surgical procedures performed, pain score, functional scores, and patient satisfaction and measured the radiographic parameters. Results: The average age at the time of surgery was 39.4 years old, with a male/female ratio of 9/4 and an average follow-up period of 23.9 months (range, 12~49 months). The etiologies of the cavovarus deformity were idiopathic 7 feet, residual poliomyelitis 5 feet, Charcot-Marie-Tooth disease 2 feet, and Guillain-Barre syndrome and hemiplegia due to cerebrovascular accident sequela 1 foot each. Lateral sliding calcaneal osteotomies were performed in 12 feet (75%), followed by Achilles tendon lengthening and plantar fascia release in 11 feet (69%), and first metatarsal dorsiflexion osteotomy/arthrodesis and tendon transfer in 10 feet (63%). Visual analogue scale pain score showed improvement, from an average of 4.2 to 0.5 points. American Orthopaedic Foot and Ankle Society ankle-hindfoot score showed significant improvement, from 47.8 to 90.0 points (p<0.05). All patients were satisfied. Ankle range of motion improved from $27.5^{\circ}$ to $46.7^{\circ}$. In radiographic measurements, calcaneal pitch angle improved from $19.1^{\circ}$ to $15.8^{\circ}$, Meary angle from $13.0^{\circ}$ to $9.3^{\circ}$, Hibb's angle from $44.3^{\circ}$ to $37.0^{\circ}$, and tibio-calcaneal axis angle from varus $17.5^{\circ}$ to varus $1.5^{\circ}$ Conclusion: We achieved successful correction of cavovarus foot deformities by performing appropriate comprehensive reconstructive procedures with improved functional, radiographic measures and high patient satisfaction.

• Korean Security Journal
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• no.6
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• pp.103-122
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• 2003

Protection sciences are new science. therefore, protection martial arts sciences are will studied be based on study of protection in order to supply high level by request. Moreover, It is reconstruction that protection martial arts masters education, systematic manage, certificate system, protection martial arts recognition certificate, protection martial arts equipment, practice of protection martial arts. Protection martial arts occurs on the unforeseen accident and body guarding, therefore martial arts concept of protection martial arts different general martial arts and sport. In order to develope of protection martial arts First, scientific thesis need of protection martial arts learning. Especially, aims of present protection martial arts is not protect oneself, protect the VIP to safely from all dangers is different thing with aims of general martial arts. Instinct that VIP protect rather than oneself should study and develop. Second, techniques and model of protection martial arts spread to who in connection with security service by systematic and organized. Preferentially, study of protection martial arts Techniques and model possible the protection martial arts learned society, found laboratory and endowed protection martial arts society organize and prevention for random of protection martial arts and must make the original protection martial arts. Third, protection martial arts official certificate and license system must organize in order to training and manage of protection martial art master, Match director(First Second), life physical director(First, Second, Third) is systematically manage by Ministry of Culture & Tourism Republic of Korea. Like this protection martial arts also classify the certificate by scholarship and experience. Fourth, In union to university, private security service company, public institution, police and system that possible leaning to protection martial arts certificate course important. In addition, destroy the commercial character of present martial arts and cultivate the pure martial arts mind, should develop to martial arts in order to improve the humanism and temperament of right body guard.

• The Journal of the Institute of Internet, Broadcasting and Communication
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• v.14 no.4
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• pp.165-172
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• 2014

When a vehicle is running on the road, the surface conditions and environment of road by reason of insufficient road design standards is so greatly that have an effect on drivers. In particular, the road design of the past is conducted empirical and ideal judgment, but recently, the new technical development is attempted that three and four dimensional parameters is reconsidering and adjusting at the same time. In this study, we analyzed the vehicle behavior characteristics according to the change of driving speed and vertical grades on braking at the peak point of the frozen road by using a PC-crash program for traffic accident reconstruction. As a result, we were conformed the fact that the friction coefficient of road surface and the vehicle speed is affected by vehicle behavior characteristics for intersection vertical grades and were showed the feasibility of verification through a simulation in order to solve the problem of road design in advance.

• Archives of Reconstructive Microsurgery
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• v.2 no.1
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• pp.7-12
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• 1993

Traumatic loss of the fingers present significant functional disability and the index finger is an important component of hand function. Since 1900, many attempts and efforts have been done in reconstruction of amputated fingers with toes. Authors clinically analyzed 8 cases of toe-to-finger transfer in traumatic amputation of the index finger to be followed for more than one year at Korea University Hospital from August 1982 to December 1991. The results were as follows: 1. The most common cause of injury was mechanical accident in 7 of 8 cases. 2. Average interval between injury and operation was 8 year 3 months. 3. Average operation time was 5 hours 58 minutes and average ischemic time of transferred toe was 1 hour 52 minutes. 4. Skin flaps have survived in 7 of 8 cases, and the functional results in 6 of 8 cases were over than fair.