• Journal of Chest Surgery
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• v.8 no.1
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• pp.37-44
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• 1975

Authors have reviewed the records of seven patients of multiple rib fractures with severe flail chest who were admitted to Hanyang University Hospital during the 3 years period from 1972 through 1975. Of the seven patients studied, automobile accidents led to the injuries in 4 cases, two patients were injured in fall from a tree and on the ox-heading. All who had a blunt trauma without any open wound on the chest. The numbers of the fractured ribs accounted for 6 to 9 of the ribs including double fractures from 3 to 5 ribs. The left side fractures occurred in the 6 patients and in the right only one patient. Thus the flail segment was more often located in the left antero-lateral position than in the right lateral position [the ratio was 6:1].. All cases had associated injuries. The injuries and multiple fractures were the most common associated injuries occurring in four and five of the patients respectively. The patients were classified as having associated head injuries when they were admitted in comatose or semicomatose state. When a major degree of instability of the thoracic cage exists, adequate respiratory change is not possible. For this reason the tracheostomy was performed in five patients in an acutely injured patient with flail chest only after an endotracheal tube has been inserted or after an endotracheal suction. All patients had secondary complications in the pleural cavity, such as hemothorax or hemopneumothorax with or without intrapulmonary hemorrhage and subcutaneous emphysema. Therefore, closed thoracostomy was performed in five patients in the emergency room. The thoracotomy was required in four patients: immediate operation without closed thoracostomy was performed in two patients and the thoracotomy was indicated in two patients after closed thoracostomy, because of increasing intrathoracic hemorrhage. As to the fixation of the flail segments, authors employed two techniques; one was towel clip traction of the flail segments and the other was intramedullary insertion of Kirschner`s wire in to the double fractured rib fragments for the fixation of the flail segments [Kirschner`s wire fixation]. Because` of an different results in the course of treatment between two techniques, data from patients with towel clip traction was compared with those from patients with thoracotomy and Kirschner`s wire fixation of the flail segments. Of the three patients with towel clip traction, two patients required bronchoscopic toilet due to lung atelectasis which developed because of inadequate motion of thoracic cage and poor expectoration. This was in contrast to the four patients with thoracotomy and Kirschner`s wire fixation, who didn`t these complication because of adequate motion of the thoracic cage and subsequent good expectoration.

• Journal of the Korean Association of Oral and Maxillofacial Surgeons
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• v.32 no.2
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• pp.142-150
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• 2006

PURPOSE : The 3rd molar extraction of mandible is common in out-patient office of oral and maxillofacial surgery. And it is dynamic minor operation with changes of vital signs. most of patients are already sensitive about their dental treatment. The changes of emotion are reached to the highest level when patients is laid down to be treated on unit chair. It can be induced to undesirable accidents as to this fear. The undesirable complications are nausea, vomiting, hyperventilation, dyspnea, syncope, shock and so on. The severe changes of vital signs may influence their behavior and make serious medical malpractice or suit such as fracture of dental instruments and injury of proximal area. METHOD AND PATIENTS : A total of 99 selected normal patients were reviewed. Among this, 70 patients(43 men, 27 women with statistical significance) were included in this study. Each steps(pre-anesthesis, 5 minutes after anesthesis, just after mucogingival incision, just after tooth section, just after suture and gauze biting) were investigated for a change of a vital signs. It is analyzed to 2 categories,"Means" and "Tendency". The "Means" is the amount of vital signs changed in comparison with pre-step during operation. That means is the amount of vital changes by each step operation. Next, " Tendency" is changes of vital signs in comparison with step1 during operation. RESULT : This is the changing tendency of vital signs with time. That is active effect of fear and pain. Thus this "Means" and "Tendency" will present a sudden changes of vital signs and it can lead to more safe treatment. CONCLUSION : Thus, the purpose of this study is, through careful operation in each step, to less on patients' complication and increase trust between patient and OMFS. This study is a first article shown with the amount of "Means" and "Tendency" in vital signs, when a third molar of mandible is extracted. This study will be base study of patients with general diseases, because it selected only patients without general diseases.

• Journal of Convergence for Information Technology
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• v.10 no.4
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• pp.151-159
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• 2020

The secondary health status of the disabled is more vulnerable due to the aging of the disabled, the nature of primary disabilities, and social and environmental disability suppression and stress. Therefore, this study aimed to examine the experiences of secondary disabilities of the disabled and how they responded when secondary disorders occurred. A total of 13 people with severe disabilities with secondary disabilities were interviewed in a focus group and analyzed by applying phenomenological research methods. As a result of the analysis, people with disabilities were experiencing secondary disorders due to variations in the experiences of aging and primary disorders, management problems and life accidents in the primary disorder, misunderstanding of the labor market for disorders and health, misunderstanding of risks of secondary disorders and lack of prevention. In response, people with disabilities live alternatively between body and work, body and academic, try to prevent worsening of secondary disabilities at the individual level, continue to enter the hospital, or choose a life that puts health first. While experiencing secondary disabilities, people with disabilities experienced the threat of life, recognized life as having to endure and fought to the end, acknowledged the difference between the disabled and non-disabled people, and standed aloof from their ongoing secondary disability. It also requested institutional support. Based on the results of this study, medical-level measures, institutional support measures in the labor market, and social welfare practices were discussed.

• Proceedings of the Korean Institute Of Construction Engineering and Management
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• 2008.11a
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• pp.401-404
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• 2008

Bridges are exposed to very severe environment and experience, as service life increased, elevated traffic load and traffic flow, in addition to natural disasters. In comparing to other road structures, bridges may cause more significant damage, such as human-involved accidents, to the society in the event of collapse. A certain level of service shall be necessarily secured to assure the minimum safety of users. The cost for manage and preserve bridges will increase gradually and more restrictions will be loaded to efficiently distribute the limited resources, such as monetary budget and human resource etc. In order to enhance performance and serviceability of bridges with the limited resource, asset management technique has been applied into the bridge management system, which capitalizes the road infrastructures including bridges and assess them in accordance with the government finance report. In the application of asset management, there must be a tool for assess the performance of bridges and this study introduces the basic information on the definition and role of performance measures for asset management for bridges.

• The Journal of The Korea Institute of Intelligent Transport Systems
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• v.14 no.3
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• pp.9-23
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• 2015

A lane change maneuver which has a high driver cognitive workload and skills sometimes leads to severe traffic accidents. In this study, the Advanced Lane Change Assist System (ALCAS) was developed to assist with the automatic lane changes in merging sections which is mainly based on an automatic control algorithm for detecting an available gap, determining the Optimal Lane Change Start Point (OLCSP) in various traffic conditions, and positioning the merging vehicle at the OLCSP safely by longitudinal automatic controlling. The analysis of lane change behavior and modeling of fundamental lane change feature were performed for determining the default parameters and the boundary conditions of the algorithm. The algorithm was composed of six steps with closed-loop. In order to confirm the algorithm performance, numerical scenario tests were performed in various surrounding vehicles conditions. Moreover, feasibility of the developed system was verified in microscopic traffic simulation(VISSIM 5.3 version). The results showed that merging vehicles using the system had a tendency to find the OLCSP readily and precisely, so improved merging performance was observed when the system was applied. The system is also effective even during increases in vehicle volume of the mainline.

• Journal of the Korean Institute of Gas
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• v.7 no.2 s.19
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• pp.33-41
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• 2003

There exists high hazard when transporting LPG as well as using, storing, and producing. For small scale LPG consumer, retailers deliver LPG to customers via a truck loading many LPG cylinders. Suppose there occurred a accident during LPG cylinder transfer, this could result in serious damages to the life and properties in the near or neighbor of the accident spot. In this regard, we made a quantitative risk analysis to estimate the possible damages and the probability through the identification of accidents causes and the simulation of the possible scenario. In this study, we made the Excel & Visual Basic computer program to perform quantitative LPG accident analysis. The simulation showed the following results. In case of UVCE(Unconfined Vapor Cloud Explosion), the effect within l0m of the accident spot showed very severe structural damages and even the accident can break the window glasses of the area of 150 m apart from accident spot. In case of TNT corresponding probit analysis, after 10 minutes LPG leaking, $75\%$ window glasses of 40 m distance was expected to be broken. And $16\%$ frames of 20m distance, $10\%$ frames of 40m distance was expected to be collapsed.

• Nuclear Engineering and Technology
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• v.27 no.4
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• pp.544-554
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• 1995

Pool boiling of dilute aqueous solutions of polyethylene oxide polymer has been experimentally investigated for the purpose of understanding the physical mechanisms of the suppression of vapor explosions in this polymer solution. Tn solid spheres of 22.2mm and 9.5mm-diameter ore heat-ed and quenched in the polymer solutions of various concentrations at 3$0^{\circ}C$. The results showed that minimum film boiling temperature($\Delta$ $T_{MFB}$) in this highly-subcooled liquid rapidly decreased from over $700^{\circ}C$ for pure water to about 15$0^{\circ}C$ as the polymer concentration was increased up to 300ppm for 22.2mm sphere, and it decreased to 35$0^{\circ}C$ for 9.5mm sphere. This large decrease of minimum film boiling temperature in this aqueous polymer solution may explain its ability to suppress spontaneous vapor explosions. Also, tests with applying a pressure wave showed that the vapor film behaved more stable against an external disturbance at higher polymer concentrations. These observations together with the experimental evidences of vapor explosion suppression in dilute polymer solutions suggest that the application of polymeric additives such as polyethylene oxide as low as 300ppm to reactor emergency coolant be considered to prevent or mitigate energetic fuel-coolant interactions during severe reactor accidents.s.

• Nuclear Engineering and Technology
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• v.27 no.2
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• pp.203-215
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• 1995

A continued operation of RCPs during a certain small break LOCA may increase unnecessary inventory loss from the RCS causing a severe core uncovery which might lead to a fuel failure. After TMI-2 accident, the CEOG developed RCP trip strategy called “Trip-Two/Leave-Two” (T2/L2) in response to NRC requests and incorporated it in the generic EPG for CE plants. The T2/L2 RCP trip strategy consists of tripping the first two RCPs on low RCS pressure and then tripping the remaining two RCPs if a LOCA has occurred. This analysis determines the RCP trip setpoint and demonstrates the safe operational aspects of RCP trip strategy during a small break LOCA for YGN 3&4. The trip setpoint of the first too RCPs for YGN 3&4 is calculated to be 1775 psia in pressurizer pressure based on the limiting small break LOCA with 0.15 ft$^2$ break size in the hot leg. The analysis results show that YGN 3&4 can maintain the core coolability even if the operator fails to trip the second too RCPs or trips at worst time. Also, the YGN 3&4 RCP trip strategy demonstrates that both the 10 CFR 50.46 requirements on PCT and the ANSI standards 58.8 requirements on operator action time can be satisfied with enough margin. Therefore, it is concluded that the T2/L2 RCP trip strategy with a trip setpoint of 1775 psia for YGN 3&4 can provide improved operator guidance for the RCP operation during accidents.

• Nuclear Engineering and Technology
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• v.19 no.2
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• pp.85-98
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• 1987

To analyze the aerosol dynamics in severe accidents of LMFBR, a new computer code entitled MCAD (Multicomponent Aerosol Dynamics) has been developed. The code can treat two component aerosol system using relative collision probability of each particles as sequences of accident scenarios. Coagulation and removal mechanisms incorporating Brownian diffusion and gravitational sedimentation are included in this model. In order to see the effect of particle geometry, the code makes use of the concept of density correction factor and shape factors. The code is verified using the experimental result of NSPP-300 series and compared to other code. At present, it fits the result of experiment well and agrees to the existing code. The input variables included are very uncertain. Hence, it requires uncertainty and sensitivity analysis as a supplement to code development. In this analysis, 14 variables are selected to analyze. The input variables are compounded by experimental design method and Latin hypercube sampling. Their results are applied to Response surface method to see the degree of regression. The stepwise regression method gives an insight to which variables are significant as time elapse and their reasonable ranges. Using Monte Carlo Method to the regression model of LHS, the confidence level of the results of MCAD and their variables is improved.

• KSCE Journal of Civil and Environmental Engineering Research
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• v.42 no.5
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• pp.729-740
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• 2022

This study analyzed the effects of job stress and sleep disorders on sleepiness during the daytime for a night-shift urban railway crew. As a result of the analysis, measurements on a daytime sleepiness index were higher for the crew than those during other working hours, indicating that the degrees of sleepiness and drowsiness were severe. Afterwards, aromatic essential oils, which are generally known to help relieve sleep disorders and stress, were utilized to verify the effect on stress on night-shift workers. The experimental group treated with aromatherapy was found to show improved stress reduction and overall activity levels in the autonomic nervous system compared to an untreated control group. This study proves that night work by an urban railway crew negatively affects stress levels by increasing stress and negatively affects the autonomous nervous system, also showing that an aromatherapy treatment can be a good alternative to alleviate these conditions. The results of this study are expected to help prevent safety accidents by relieving the stress of nighttime workers.