• Journal of Chest Surgery
• /
• v.32 no.9
• /
• pp.790-798
• /
• 1999

Background: As the early outcome after coronary artery bypass grafting(CABG) has been stabilized, neurologic complication has now become one of the most important morbidity. The aim of this study was to find out the risk factors associated with the neurologic complications after CABG. Material and Method: In 351 patients who underwent CABG, the incidence and features of neurologic complications, with associated perioperative risk factors, were retrospectively reviewed. Neurologic complication was defined as a new cerebral infarction confirmed by postoperative neurologic examination and radiologic studies, or delayed recovery of consciousness and orientation for more than 24 hours after the operation. Result: Neurologic complications occurred in 18 patients(5.1%), of these nine(2.6%) were diagnosed as having new cerebral infarctions(stroke). Stroke was manifested as motor paralysis in four patients, mental retardation or orientation abnormality in four, and brain death in one. Statistical analysis revealed the following variables as significant risk factors for neurologic complications by both univariate and multivariate analyses: cardiopulmonary bypass longer than 180 minutes, atheroma of the ascending aorta, carotid artery stenosis detected by Duplex sonography, and past history of cerebrovascular accident or transient ischemic attack. Age over 65 years, aortic calcification detected by simple X-ray, and intraoperative myocardial infarction were significant risk factors by univariate analysis only. Neither the severity of carotid artery stenosis nor technical modifications such as cannulation of the aortic arch or single clamp technique, which were expected to affect the inciden e of neurologic complications, had significant relationship with the incidence. Conclusion: This study confirmed the strong association between neurologic complications after CABG and atherosclerosis of the arterial system. Therefore, to minimize the incidence of neurologic complications, systematic evaluation focused on atherosclerotic lesions of the arterial system followed by adequate alteration of operative strategy is needed.

• Journal of Navigation and Port Research
• /
• v.30 no.10 s.116
• /
• pp.833-837
• /
• 2006

Effective interaction between navigation officer and automated navigation-support system is essential for ship-handling and safe navigation In this study, the functions of the SCMS(Ship Control and Management System) which was developed and implemented to support navigation officer's ship control and to guide safe navigation were described in terms of navigation officer's tasks(i.e., watchkeeping, positioning, and maneuvering), and the interactive relationship between navigation office and the system were analyzed in addition, the effectiveness of the system was evaluated in the scope of training efficiency and subjectively rated safety level.

• The Journal of The Korea Institute of Intelligent Transport Systems
• /
• v.7 no.3
• /
• pp.15-28
• /
• 2008

According to the accident statistics published by the National Police Agency in 2006, it can be recognized that drivers' characteristics and driving behaviors are the most causational factors on the traffic accidents. At present, although many recording tools such as digital speedometer or black box are distributed in the market to meet social requests of decreasing traffic accidents and increasing safe driving behaviors, it is also true that it still lacks in obvious categories for dangerous driving types and then, the efficiency of the categories to be studied has been low. In this study, dangerous driving types are redefined. They are grouped into 7 classifications in the first level, and the seven classifications are regrouped into 16 in more detail. To verify the redefined dangerous driving types, a Data-logger is developed to receive and analyze the data that occur from the driving behaviors of the test vehicle. The developed Data-logger can be used to construct a real time warning system and safe driving management system with dangerous driving patterns based on acceleration, deceleration, Yaw rate, image data, etc.

• The Journal of Korean Institute of Communications and Information Sciences
• /
• v.38C no.3
• /
• pp.227-232
• /
• 2013

Due to the development of ITS technology, various services related to transportation under vehicular environments have been provided. Especially, as wireless communication technology, WAVE has been established as a standard for vehicle-to-vehicle communications. WAVE has fast connection and excellent mobility characteristics. A VSC-A project is conducting by global automotive OEMs in USDOT. This project introduces the advanced safety services with vehicle-to-vehicle communications. In this paper, we presented the scenario of a do not pass warning service, which prevents an accident during overtaking activity by using vehicle-to-vehicle communications. In addition, we analyzed network performance under WAVE. In conclusion, we introduced the simulation results. Finally, we summarized the communication range and delay values for consideration factors for a overtaking model.

• Quality Improvement in Health Care
• /
• v.4 no.1
• /
• pp.36-49
• /
• 1997

Background : Hypertension is one of the most important risk factors of the cerebrovascular accident and coronary artery disease which are the major causes of mortality in Korea. In Korea, the quality of care provided by office-based physicians has not been evaluated formally. The purpose of this study is to assess the quality of hypertension management of office-based physicians. Method : Self-administered questionnaires were mailed to the office-based physicians with the speciality of internal medicine, general surgery, family medicine, and general practitioners. Among 2,045 physicians, 981 doctors(48.0%) replied the questionnaires. Contents of questionnaires were based on the recommendation from the JNC-V report(the Fifth Report of the Joint National Committee on Detection, Evaluation, and Treatment of High Blood Pressure), and included the criteria of diagnosis, treatment, follow-up interval, and other characteristics of physicians(age, sex, type of speciality, and location of practice). Results : Eighty four percent of the office-based physicians made diagnosis of hypertension with less than 3 times of blood pressure measurements. The performance rate of required examination for hypertensives was very low in most items. Rate of fundoscopic examination is the lowest one among them(5.9%). The performance rate of laboratory examination was also low in most items. Internists tended to order more frequent laboratory examinations than any other type of physicians. Only 11.4% of the physicians did appropriate treatments for the mild hypertension case. The antihypertensives selected by the physicians as a first line drug were in the order of beta blocker(26.4%), calcium channel blocker(23.4%), diuretics(23.1%), ACE inhibitors(14.3%). The visit interval for established hypertensives was very short. Proportion of physicians with follow-up interval longer than 4 weeks was only 4.3%. Conclusions : The overall quality of hypertension management of office-based physicians in Korea is very problematic in many aspects. So further investigations to find out the reasons of low quality arid quality of care should be initiated.

• Journal of Korean Society of Transportation
• /
• v.31 no.6
• /
• pp.53-66
• /
• 2013

The major purpose of this study is to evaluate methodologies to predict the injury severity of pedestrian-vehicle collisions. Methodologies to be evaluated and compared in this study include Binary Logistic Regression(BLR), Ordered Probit Model(OPM), Support Vector Machine(SVM) and Decision Tree(DT) method. Valuable insights into applying methodologies to analyze the characteristics of pedestrian injury severity are derived. For the purpose of identifying causal factors affecting the injury severity, statistical approaches such as BLR and OPM are recommended. On the other hand, to achieve better prediction performance, heuristic approaches such as SVM and DT are recommended. It is expected that the outcome of this study would be useful in developing various countermeasures for enhancing pedestrian safety.

• Journal of the Korea Academia-Industrial cooperation Society
• /
• v.13 no.10
• /
• pp.4762-4767
• /
• 2012

The AF track circuit that detecting train position and transmitting various train control data for DTG to the train on-board is composed of single operation system. If a failure occurs on this system, the driver should be operate the train by manually until the system is restored, because the system cannot control switch machines and signals by automatically. In this process the human error affects to the train delay, collision, derailment and critical safety accident. Therefore, this document has analyzed the effects that each failure mode influences on system and train, and quantified the failure valuation point and class. Basis on this quantified analysis result, MTBF increased and MTTR decreased and failure number also decreased by adopting the independent installation of power supply, the replacement of defected capacitors, the installation of resister cooling system and the improvement of maintenance methods. And the failure factors of AF track circuits were decreased by conducting the preventive maintenance which is a quantitative way of maintenance system by experience.

• Journal of the Korea Institute of Building Construction
• /
• v.20 no.3
• /
• pp.297-304
• /
• 2020

Design for Safety(DfS) at the design stage is introduced and executed in order to fundamentally reduce the occurrence of construction safety accidents in Korea. Therefore, in this study, the construction method selected by Design for Safety can reduce safety accidents, but the effects on construction duration and costs were examined to confirm the effectiveness of various aspects. The construction method of the structural frame for the exterior wall cladding of the building, which have the factors for the fall accident, was selected for construction safety and compared and analyzed in terms of construction duration and costs. As a result, it was found to be effective not only in terms of safety, but also in terms of construction duration and costs. Therefore, it is considered that the construction method selected by the Design for Safety at the design stage will have a positive effect on the entire construction project.

• Journal of the Korean Society of Safety
• /
• v.35 no.3
• /
• pp.32-42
• /
• 2020

In this study, in order to secure the necessity of introducing the safety certification system for the assembled temporary equipment and materials, the feasibility of the introduction was analyzed through literature review, structural analysis, and actual experiments and surveys related to the assembled temporary equipment and materials. In the previous studies, it was found that the research on the assembled temporary equipment and materials was insufficient, and it was possible to grasp the necessity of introducing the safety certification system for the assembled temporary equipment and materials. In addition, in the results of the serious accident analysis, it was found that the soundness of the temporary equipment and materials is determined by the structural characteristics after it was assembled. As a result of the feasibility analysis of the introduction of the safety certification of the assembled temporary equipment and materials through structural analysis, it is possible to effectively and rationally reflect the main geometrical influence factors, and to introduce the safety certification system that can test the procedures and procedures of the assembled temporary equipment and materials and based on it. It was found that there is a need. As a result of feasibility analysis on the necessity of introducing the safety certification system for assembled temporary equipment and materials through actual experiments, the existing single member performance evaluation has limitations in evaluating the structural performance of the assembled temporary equipment and materials. It was found that there is a need to introduce a safety certification system. As a result of gathering opinions on the feasibility of introducing the safety certification system for assembled temporary equipment and materials of manufacturers and users through the survey, it was found that the overall positive response result was high and the effectiveness was high.

• The Journal of Society for e-Business Studies
• /
• v.20 no.4
• /
• pp.127-150
• /
• 2015

Since 9/11 attack, internet has become a major space for terrorist activities and also emerged as the most important spot of lone wolf terrorists for acquiring tools and radicalization. The accident of student Kim's defection to IS (Islamic state) in January 2015 told us that Korea is not any more "terrorism clearance area" and leaded us to look closely into the possibility of lone wolf terrorist. In this paper, I developed a "lone wolf cyber evolution model" using various materials collected by preceding papers and interviewing investigators and terrorism experts in Korea. I analyze Kim's radicalization process using this model. And I picked and closely looked over some facilitating factors of lone wolf such as multi-cultural socialization, increase of international migrants, expansion alienation hierarchy and ideological conflicts deepening and predicted the possibility of lone wolf. Finally, this paper presents some effective policy measurements against lone wolf terrorism in Korea.