• Archives of Reconstructive Microsurgery
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• v.5 no.1
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• pp.35-45
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• 1996

After transplantation of groin free flap was sucessed by the Daniel and Taylor in 1973, the reconstruction of plastic surgery was extensive and universal due to rapidly developement of anatomic study of the donor site and technique of microvascular surgery. The free tissue transfers is possible to be early activity and rehabilitation by one stage operation. It currently available allow transfer of specific tissue quality as bone, muscle, nerve to achieve a functional and cosmetic result as well as the most favorable secondary defect. But free flaps require critical, skillful technique and lengthy operating time. Also it has disadvantage of donor site morbity at the large tissue transfer. Authors were transferred with 107 cases in 103 patients from May 1987 to June 1996, and then we analysed free tissue transfer to acquire more increased sucess rate, satisfactory functional and cosmetic results. The sexual distribution was male prominent in 79 cases(76.7%), female in 24(23.3%) and age was variable distribution from 3 to 76 years old. The cause of defects was most prevalent in trauma of traffic and industrial accident in 51 cases(49%). The common recipient site were lower extremities in 47 cases(43.9%), upper extremities in 28 cases(26.5%), head and neck in 25 cases(23.4%), and trunk in 7 cases(6.5%). The type of transfer were free skin flaps in 46 cases(43%), free muscle or musculocutaneous flaps in 31 cases(29%), free vasculized or osteocutaneous flaps in 10 cases(9.3%), and specilized free flaps in 20 cases(18.7%). The anastomosis of artery was end to end anastomosis in 94 cases(87.9%), end to side anastomosis in 13 cases(12.1%) and all vein was end to end anastomosis. The number of anastomosed vessels were one artery one vein in 62 cases(57.9%), one artery two vein in 45 cases(42.1%) and vein graft was performed only one case. The postoperative mornitoring were used with temperature, color of flap, capillary refilling time, ultrasonogram, bone scan, doppler, and endoscopy. The reexploration was performed in 9 cases(8.4%), and then flap was loss in 3 cases(2.8%). Accordingly overall success rate was 97.2%. The postoperative complication was early vascular occlusion, hematoma, partial necrosis and late bulkiness, scarring, color dismatch etc. Therefore, free tissue transfer is the preferred method of treatment, even through conventional local and distant flaps are available.

• The Korean Journal of Emergency Medical Services
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• v.7 no.1
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• pp.81-94
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• 2003

This study tries to examine the level of safety consciousness and first aid knowledge of 124 college students who attend non-public health departments in Gwangju from April 1 to 30, 2003 and apply the results of the study to curriculum. The results of this study are as follows; 1. On experiences of need of first-aid, 87.5% of respondents said 'yes' and there was a significant difference in the number of their siblings($x^2$ = 7.482, p = .048). 2. Sources of education of first aid were mostly at school(46.8%), no education(23.4%), through mass communication(22.6%) and by themselves(7.3%). There were significant differences by characteristics in sex($x^2$ = 30.230, p = .000), year($x^2$ = 10.821, p = .013) and mother's education($x^2$ = 18.932, p = .025). 3. Sources of information of first aid were mostly through TV(46.8%), followed by others (42.7%), newspapers(7.3%) and magazines(3.2%). 4. On the opinions of the most suitable period for educating first aid, elementary school was highest(41.9%), followed by kindergarten(29.0%), middle school(21.0%) and high school (8.1%) and there were significant difference by characteristics of subjects in sex($x^2$=9.689, p= .021) and year($x^2$=19.661, p= .000). 5. Score of knowledge level of safety consciousness was mean $71.58{\pm}12.05$ based on Likert 5-point scale with a full mark of 100 points and there was a significance only in current residence of subjects' general characteristics(F or t=3.894, p=.023). 6. Score of knowledge level of first aid was mean $62.73{\pm}13.29$ based on Likert 3-point scale with a full mark of 90 points and there was a significance only in residential type of subjects' general characteristics(F or t=3.058, p= .031). Although college students felt needs of first aid more than middle and high school students, it was found that their actual safety consciousness and knowledge level of first aid were low. Therefore, knowledge and ability should be developed to save human life from all kinds of emergencies and safety accident and first aid subjects should be separated in college curriculum and opportunity for actual education should be given.

• Journal of Korean Elementary Science Education
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• v.34 no.4
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• pp.502-518
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• 2015

In order to find out Elementary pre-service teachers' reflective thinking and experiment performance ability related with Photosynthesis Experiment in the Korea Elementary School Science Textbook, the research is conducted targeting Elementary pre-service teachers. They are asked to carry out the experiment and write their own report about the difficulties and solutions of exploration process. This study aims to analyze Elementary pre-service teachers' reflection and experiment performance ability on Photosynthesis experiment based on 10 groups' reports and presentation materials. Reflective thinking extracts 108 statements which is associated with the four types of the sentence 'Knowledge, Procedure, Orientation, Attitude' in 10 reports. There are many sentences about reflective thinking acquired through analysis of the photosynthesis experiment. reflective thinking about the newly discovered type or changed concepts through experimentation in Knowledge is at the highest frequency. 56 sentences in relation to the ability to perform experiments are extracted by adding 4 different types of reflective thinking in 10 groups shown the highest frequency group and the lowest frequency group's report through analyzing 4 steps 'Experimental preparation and safety accident prevention', 'Experiments performance', 'Experimental results and generalization', and 'Experimental results and feedback.' Results of the analysis showed that there are the biggest difference between the two groups in 'experiment results supplement and feedback step.' In the lowest group's report, there's no contents related with 'Computer-assisted information processing' in the 'Experimental results summary and generalization stage', 'Alternative reagents and materials research', and 'Devising alternative experiment methods'.

• Journal of Advanced Marine Engineering and Technology
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• v.39 no.3
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• pp.312-317
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• 2015

Seafarers can confront to evacuate from the ship with many reasons such as collision, grounding and fire accident. It believes that evacuation time from ship is very important element in order to increase survival rate in the contingency circumstance, however narrow and complex structure of ship is one of obstacle element against prompt evacuation. Taking into consideration the unique structure of ship compared to the structure of other facilities, speed of fire propagation on board ship is faster than the same size of other type facilities. Therefore, measures to prompt evacuation are required. But it comes with the behavioral constraints of the crews and passengers of the nature of operating in a complex structure with narrow vessels. Therefore, in this study, we propose a formula to be analyzed by theoretical approach and simulation methods to improve the survival rate for the crew and passenger of the ship through the ship's structural modification. We analyzed the temperature rise and visibility which are the most influential effects on the life safety in the event of fire by using a three-dimensional analysis of sight-only program Fire Dynamic Simulator (FDS) as analytical tools.

• The Journal of the Korea Contents Association
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• v.17 no.7
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• pp.265-275
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• 2017

The aim of this study was to examine fluid excretions and changes in deceased bodies depending on type, location of, and causes of death for hygienic management of funeral homes. Based on the 858 cadavers studied, the average age at the time of death is 68.6 years, 83.0% had illness as the cause of death, and 79.5% passed away in a medical facility. Fluid excretion was observed in 46.2% of the cadavers. In manner of death, 78.8% of deaths -highest percentage- was due to an accident and 10.8% of deaths - lowest percentage- was due to age. Fluid excretion was observed in 46.3% of cadavers from medical facilities, 38.6% of cadavers from homes and 77.4% of cadavers from miscellaneous locations. There were various number of cadavers with recorded immediate, secondary and underlying cause of death; however, the fluid excretion rate was similar. In analyzing the immediate, secondary and underlying cause of death, respiratory and heart disease were the most common causes of death in categories of body organ and system. In terms of fluid excretion, liver disease followed by digestive and circulatory diseases were most common in immediate cause of death. Accidents and miscellaneous circumstances were most common amongst secondary and underlying causes of death for cadavers with fluid excretion. Based on the recorded illnesses of the cadavers, cardiopulmonary failure was most common as evident in 96 cadavers followed by pneumonia and sepsis. Cholangiocarcinoma (73.3%) had the highest rate of fluid excretion followed by pancreatic cancer, severe brain injury and liver cancer amongst categories of illnesses with more than 15 cadavers.

• Journal of Korean Tunnelling and Underground Space Association
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• v.17 no.3
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• pp.237-242
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• 2015

With the rapid development of modern society, subway has become one of the most typical urban transport systems. Since fire accident occurred at Daegu subway in 2003, importance of life safety and disaster prevention have been widely recognized and many studies have been carried out. As a result of these studies, fire-retardant and non-combustible interior material and platform screen door with passenger guide indication device have been developed, but studies on a subway evacuation criteria have been in a stalemate. Therefore, this study is intended to improve the subway evacuation standard. It is very difficult to take into account whole subway system, so a typological approach to a ticket was carried out referring to previous studies focused on a subway platform. this paper selected the most common subway platforms and estimated evacuation time among 10 platforms from previous studies and 8 from this study. As a result, evacuation time exceeded 6 minutes which is the guideline of existing standard. Therefore, it is necessary to update the standard for evacuation time and add supplementary conditions which can help establishing the measures for safety facilities and prevention measures.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.18 no.7
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• pp.224-236
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• 2017

This study analyzed the characteristics of traffic accidents among elderly drivers according to area type in Gyeonggido(urban areas, urban-rural complex areas, and rural areas). Traffic accidents caused by unsafe driving are common in all three types of areas. In urban areas and urban-rural complex areas, traffic accidents were more frequent due to traffic violations and intersection accidents, while rural areas were more affected by central lines. Urban areas and urban-rural complex areas require simpler signal exposures, such as a simple straight line, left turn, or straight line and left turn signal rather than complex signal operations, such as overlaps in a signal operation. Improvement of non-signal intersections and unprotected traffic signal processing is also needed. In order to prevent the intrusion of the central line in rural areas, the center line guard rail should be prevented from penetrating the center line, and the influence of the vehicle headlamp should be reduced in the opposite direction. It is necessary to improve the visibility by using fluorescent letters to enlarge the font size of traffic signs and road signs, particularly to increase visibility at night and prevent traffic accidents at sunset. Minimal, simplified should be provided rather than complex phrases and information.

• Journal of Korean Physical Therapy Science
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• v.6 no.1
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• pp.905-913
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• 1999

The hand is a part of the body which has various functions and a sophisticated structures bone, Joint, tendon, ligament and logical nerve organ are aggregated densely in the hand of anatomy its functions are delicate. The hand's functions are very important for doing ADL and a worker's As the hand is structure which is used often and commonly it is a site that can be easily damaged by a accident on work. This study was investigated and analyzed by the results from 238 workers who had hand injury and physical therapy from January, 1997 to June, 1998 at Shin-Pung, Jang-Lim industrial complex which is located in Pusan. 1. A hand injury most frequertly happened in worker in their 30's and 20's(66 case, 28%), second was 57 case(24%) their 40's. 2. Among workers suffering from injury, who had one or less than 2 years on the job, a injury most frequently occurred. 3. Scale of workers, A injury most frequently happend in a place where had workers from 10 to 50. 99 workers from that place were 42% of total. 4. Month of occurrence rate in March were the highest compared to other months 40 injury workers in march were 17% of the total. Second was July, and the least was April that injury appeared with 10 workers. (4.2% of the total) 1. Frocture was the most common lesion 82 workers had that lesion(34%) soft tissue rupture was 71 workers who were 30% of total in type of lesion. 2. Of the site of lesion multiple case was the most common in which 57 workers had that lesion it were 24% of the total. The next was the index finger site in which 44 workers were 19% of the total. The index finger was the most common mono-site that can be lesion 36 workers were the middle finger lesion workers who were 15% of the total. Of the joint lesion, PIP was the most in which 76 workers were 44% and in MC 27 workers were 15% of the total. 3. Interval of physical therapy 79 workers from one month to 2 months, was 33% of the total and 174 workers who had therapy below 3 months were 71% 4. Post injury of disablity of the site, phalangeous disability was the most in which 148 workers had that injury and they were 62% of the total of the grade of disability 110 workers who were 46% of the total state from less than 25% disability in hand-function and 59 patients who were 25% had no disability. There were 6 workers (3% of the total) who had over -75%-dibability in the hand-function.

• Quality Improvement in Health Care
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• v.10 no.2
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• pp.190-203
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• 2003

Background: Dental hygienists are at risk of acquiring infections through exposure to infectious agents. This study explores the frequency of exposure to infectious agents and infection control practices among dental hygienists. Methods: We undertook a cross-sectional survey to examine the exposure to infectious agents and infection control practices among dental hygienists through questionnaire. Data were obtained from 124 dental hygienists attending educational conferences. A multiple logistic regression analysis was conducted to determine the factors that effect infection control practices in relation to age, completion of infection control education, recognition of their own serum hepatitis Ag/Ab status, the number of one day patients, location of clinics, type of clinics, and career years. Result: Of the 124 dental hygienists, 91.7% were exposed to at least one accident such as needle stick injuries during their practices periods. The health screening coverage rate in dental hygienists was 16.5%. The number of one day patients and career years were important in relation to infection control practices among dental hygienists. The adjusted odds ratio estimates for career years were 5.049 times greater(95% Cl 1.238-20.597) for groups with over 4 career years than under 2 career years. That for the number of one day patients were 0.261(95% Cl 0.071-0.955) lower for through 20 up to 30 patients, 0.531(95% Cl 0.102-2.78) lower for through 30 up to 40 patients and 0.498(95% Cl 0.123-2.017) lower for more than 40 patients than under 20 patients. Conclusion: From these results, prevalence of infection control practices among dental hygienists is related to the number of one day patients and career years. Prevention of cross infection and reduction of future transmission should be a priority to dental hygienists for promotion of infection control and further efforts to educate newcomers on infection prevention should be made.

• Journal of Navigation and Port Research
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• v.43 no.6
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• pp.403-412
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• 2019

The characteristics of the manoeuvring motion of a ship are dependent on the ship type, as well as draft or speed in the same ship. In recent years, the number of extra-large vessels has increased significantly, which can cause enormous material and environmental damage in the event of a marine accident. Thus, the importance of ship maneuvering is increasing. The IMO has forced the officers to be trained in simulators through the STCW 95 amendment. However, FMSS is costly and difficult to access and the PC-based simulator has the disadvantage that only one person can engage in simulation. The purpose of this study was to solve the shortcomings of the FMSS and PC-based simulators by enabling multiple people to use their PCs to simulate based on a network. The simulator is implemented through the analysis and numerical calculation of the Nomoto model, Radar function mounting, data transfer protocol design, and GUI building. To verify the simulator, the simulation results were compared and analyzed with the test results of T.S. HANBADA according to the criteria of the Korean Register of Shipping(KR) and IMO standards for ship maneuverability. As a result, It showed a relative error of 0%~ 32.1% with an average of 13.7%, and it satisfied the IMO criteria for ship maneuverability.