• 한국전산구조공학회:학술대회논문집
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• 한국전산구조공학회 1999년도 가을 학술발표회 논문집
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• pp.249-256
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• 1999

This study is intended to propose a systematic procedure for the development of the reliability-based seismic safety and cost-effective Performance criteria for design and upgrading of long span PC bridges. In the paper, a set of cost function models for life cycle cost analysis of bridges is proposed. The total life cycle cost functions consist of initial cost and direct/indirect damage costs considering repair/replacement costs, human losses and property damage costs, road user costs, and indirect regional economic losses. The damage costs are successfully expressed in terms of Park-Ang median global damage indices and damage probabilities. The proposed approach is successfully applied to model bridges in both regions of a moderate seismicity area like Seoul, Korea and a high one like Tokyo, Japan. It may be expected that the proposed approach can be effectively utilized for the development of cost-effective performance criteria for design and upgrading of various types of bridges as well as long span PC bridges.

• Journal of Trauma and Injury
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• 제36권3호
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• pp.286-289
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• 2023

Torso stab injuries near the cardiac box may present unique challenges due to difficulties in hemorrhage control. For a stab injury to the heart, the repair is straightforwardly performed via median sternotomy. In contrast, injuries to the inferior vena cava are challenging to repair, especially when they are close to the diaphragm, and the bleeding can be torrential. Herein, we describe a case of a self-inflicted stab wound within the "cardiac box." The trajectory of the stab injuries went below the diaphragm and injured the infradiaphragmatic inferior vena cava. Successful emergent repair via the thoraco-laparotomy approach revived the young man. In this report, we revisit and discuss previous large series of patients with this rare vena cava injury.

• 대한전자공학회논문지SP
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• 제41권5호
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• pp.87-97
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• 2004

본 논문에서는 공간정보(spatial information)를 이용하는 개선된 ELA(edge based line average) 방법과 시간정보(temporal information)를 이용하는 움직임 보상(motion compensation) 방법 간의 가중합산을 통하여 비원주사 방식의 영상(interlaced image)을 순차주사 방식의 영상(progressive image)으로 변환하는 알고리즘을 제안한다. 이 때, 움직임 보상은 하드웨어 구현이 용이한 양방향 BMA(block matching algorithm)에 의해 이루어진다. 보다 높은 성능과 효율성을 갖기 위하여 앞선 단계에서 디인터레이싱 되어진 영상을 사용하는 재귀적 구조와 움직임 검출을 통한 움직임에 적응적인 처리과정을 거치게 된다. 또한, 가중변수를 통하여 선형 결합할 경우 그 결과값은 결합하는 값의 사이값만을 가질 수 있기 때문에 미디언 필터(median filter)를 사용하여 이를 보완한다. 이러한 접근은 각각의 디인터레이싱 방법이 갖고 있는 단점을 계산복잡도의 증가 없이 극복하여 보다 다양한 영상조건에서 정확하고 효율적인 디인터레이싱을 가능하게 해주며, 실시간 처리를 위한 하드웨어 구현을 용이하게 해준다.

• Journal of Chest Surgery
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• 제57권1호
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• pp.79-86
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• 2024

Background: This study investigated the surgical outcomes associated with coronary artery fistulas (CAFs) in children. Methods: We retrospectively reviewed the medical records of 23 pediatric patients who underwent surgical closure of CAFs between 1995 and 2021. At presentation, 7 patients (30.4%) exhibited symptoms. Associated cardiac anomalies were present in 8 patients. Fourteen fistulas originated from the right coronary artery and 9 from the left. The most common drainage site was the right ventricle, followed by the right atrium and the left ventricle. The median follow-up duration was 9.3 years (range, 0.1-25.6 years) Results: The median age and body weight at repair were 3.1 years (range, 0-13.4 years) and 14.4 kg (range, 3.1-42.2 kg), respectively. Cardiopulmonary bypass was used in 17 cases (73.9%), while cardioplegic arrest was employed in 14 (60.9%). Epicardial CAF ligation was utilized in 10 patients (43.5%), the transcoronary approach in 9 (39.1%), the endocardial approach in 2 (8.7%), and other methods in 2 patients (8.7%). The application of cardioplegic arrest during repair did not significantly impact the duration of postoperative intensive care unit stay or overall hospital stay. One in-hospital death and 1 late death were recorded. The overall survival rate was 95.7% at 10 years and 83.7% at 15 years. A residual fistula was detected in 1 patient. During the follow-up period, no surviving patient experienced cardiovascular symptoms or coronary events. Conclusion: Surgical repair of CAF can be performed safely with or without cardioplegic arrest, and it is associated with a favorable prognosis in children.

• Safety and Health at Work
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• 제14권4호
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• pp.476-482
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• 2023

Introduction: There is a growing global interest in the issue of precarious employment. We aimed to analyze the characteristics and socio-demographic distribution of precarious employment using a summative score approach. Methods: To operationalize precarious employment, we utilized data from the Korean Working Conditions Survey and focused on three distinct dimensions: employment insecurity, income inadequacy, and a lack of rights and protections. By constructing a summative scale ranging from -16 to 2, with lower scores indicating higher precariousness, we measured employment precariousness among Korean wage workers. To compare employment precariousness according to survey participant characteristics, we employed the Wilcoxon Rank Sum Test. Results: We analyzed a weighted number of 38,432 workers. The overall sample showed a median (Q1, Q3) summative scale score of -3 (-6, -1). The median summative score was lower for women compared to men (men: -2; women: -5; p < 0.001), as well as for young or older workers compared to middle-aged workers (young: -4; middle-aged: -2; older: -5; p < 0.001). Similarly, workers with lower educational levels (middle school or below: -8; high school: -5; college or above: -2; p < 0.001) and non-white collar workers (blue collar: -5; service/sales worker: -6; white collar: -2; p < 0.001) experienced higher levels of employment precariousness. Conclusion: Our findings indicate that certain vulnerable groups, such as women, young or older adults, workers with low educational attainment, and caregiving or low-skilled elementary workers, are disproportionately exposed to high employment precariousness. Active policy interventions are needed to improve the employment quality of vulnerable groups.

• 대한교통학회지
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• 제31권3호
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• pp.65-73
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• 2013

중앙버스전용차로는 도시부 교통망의 혼잡완화를 위해 확대설치되고 있음에도 현재 용량분석방법론에는 버스전용차로가 포합된 신호교차로 분석방법이 제공되지 않고 있다. 본 연구에서는 버스전용차로 차로군의 용량분석방법 개발의 핵심이 되는 버스의 기본포화교통류율 산정에 대해 연구하였다. 승용차와 버스는 운행특성이 현저히 다르기 때문에 버스의 기본포화교통류율 산정이 필요했으며 버스의 포화교통류율에 영향을 미치는 요인으로 상류부 버스정류장을 선정하였다. 중앙버스전용차로의 포화교통류율과 이격거리별 상류부 버스정류장의 영향을 파악하기 위해 현재 중앙버스전용차로가 설치되어 운영 중인 서울시내의 8개 교차로를 대상으로 포화차두시간, 접근로 구배 및 상 하류부 버스정류장 이격거리를 조사하였다. 분석결과 중앙버스전용차로의 기본포화차두시간은 3.27초/대이며, 기본포화교통류율은 1,100pc/h/ln임을 알 수 있었다. 상류부 버스정류장 보정계수는 이격거리별로 20m 이하일 경우 0.50, 70m 일 때 0.75 등으로 산정되었다. 즉, 상류부 버스정류장이 정지선으로부터 20m 이내에 있을 경우에는 중앙버스전용차로의 포화교통류율은 절반으로 감소하는 것을 알 수 있었다.

• Journal of Korean Neurosurgical Society
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• 제39권1호
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• pp.26-31
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• 2006

Objective : The authors study on the clinical presentations and the surgical outcomes of the tumors in the ventricular system. Methods : 15 patients with ventricular tumor were studied. The clinical presentation, radiological findings, different surgical approaches, and outcome were analyzed. Tumors were classified into three groups based on their locations in MRI : lateral, third and fourth ventricle. Surgical methods were transcortical approach in eight patients, transcallosal approach in four, median suboccipital approach in two, and subfrontal approach in one. Gross total removal was achieved in 10 patients. Subtotal resections were performed in the rest. Glasgow outcome scale was used for evaluation of the surgical outcome. Results : Main clinical presentations were chronic headache in patients with the tumor in the lateral ventricular tumor and sudden onset of headache and consciousness change in patients with the tumor in the third and fourth ventricular tumor Development of hydrocephalus was more predominant in patients with the tumors in the third ventricle. Postoperatively, good outcome [Glasgow outcome scale IV, V] were in 73%, and better results was observed in patients with the tumors in the lateral ventricular tumor. The differences of outcome according to surgical approach were not recognized, even though it was not reliable statistically. Conclusion : In ventricular tumor, postoperative outcome is not good in patients with sudden development of headache, hydrocephalus, high grade tumor. Outcome is good in patients with the tumor in the lateral ventricle relatively. There is no difference in outcome according to the approach method to the tumors. And it is necessary to be aware of various approach methods to the tumors and anatomy surrounding the ventricle for avoidance of neurological complications.

• Journal of Chest Surgery
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• 제49권6호
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• pp.421-426
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• 2016

Background: Median sternotomy is the standard approach for atrial septal defect (ASD) closure. However, minimally invasive cardiac surgery (MICS) has been introduced at many centers in adult/grown-up congenital heart patients. We retrospectively reviewed the results of right anterolateral thoracotomy compared with conventional median sternotomy (CMS) for ASD closure at Seoul National University Hospital. Methods: We retrospectively analyzed 60 adult patients who underwent isolated ASD closure from January 2004 to December 2013 (42 in the CMS group, 18 in the MICS group). Preoperative, operative, and postoperative data were collected and compared between the 2 groups. Results: The MICS group was younger (44.6 years vs. 32.4 years, p=0.002) and included more females (66.7% vs. 94.4%, p=0.025) than the CMS group. Operation time (188.4 minutes vs. 286.7 minutes, p<0.001), cardiopulmonary bypass time (72.7 minutes vs. 125.8 minutes, p<0.001), and aortic cross-clamp time (25.5 minutes vs. 45.6 minutes, p<0.001) were significantly longer in the MICS group. However, there were no significant differences in morbidity and mortality between groups. Only chest tube drainage in the first 24 hours (627.1 mL vs. 306.1 mL, p<0.001) exhibited a significant difference. Conclusion: MICS via right anterolateral thoracotomy is an alternative choice for ASD closure. The results demonstrated similar morbidity and mortality between groups, and favored MICS in chest tube drainage in the first 24 hours.

• Journal of Chest Surgery
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• 제33권1호
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• pp.20-25
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• 2000

Background: Median sternotomy remains the standard approach used by surgeons for most intracardiac operations but the residual scar is cosmetically unsatisfactory. To avoid an unsightly midline scar we have tried to use alternative skin incision (bilateral subm-ammary skin incision) to median sternal skin incision, In this study we have tried to compare different postoperative results of wound between two different skin incisional methods. Material and Method: Between June 1997 and June 1998, a bilateral subma-mmary skin incision combined with vertical sternotomy was performed in 21 pediatric female patients (submammary group)to repair acyanotic congenital heart disease. after the period we carried out a retrograde study about postoperative wound states comparing this incision with median sternal skin incision controls in whom there were 23 pediatric pat-ients (control group). Result: Patients' age ranged from 14 to 96 months(mean 38.2 months) Mean duration of subcutaneous drains using Hemovac which was used only in the patients of submammary group was 4.2 days and total amount of the drained effusion was 51.1 ml. Postoperative wound complications included wound eruption in one patient wound disruption in one patient and skin necrosis in 3 patients in submammary group and included wound disruption in 4 patients in controls. mean duration required for wound healing was 15,5 days in submammary group versus 10.4 days in controls. The mean scar length was 12.5 cm in submammary group versus 11.3 cm in controls. The average follow-up was 8.2 months in submammary group versus 9.0 months in controls. In submammary group 3 patients parents(14.3%) were pleased with their cosmetic results of wound scar but 8(38.1%) were dissatisfied. Among the 23 patients in control group 8(34.8%) were pleased but 8(34.8%) complained ofunhappiness with the scar.

• 대한지리학회지
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• 제45권4호
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• pp.521-539
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• 2010

최근 많은 지자체들이 빠르게 변화하는 행정수요와 환경에 대해 효과적으로 대처하기 위한 일환으로 동통폐합 사업을 적극적으로 추진하고 있다. 이러한 행정적 노력은 지역 주민생활의 질에 직접적으로 관여하는 동사무소의 입지 특성에도 크게 영향을 미치고 있다. 본 연구에서는 행정 변화에 따른 동주민센터(구'동사무소')의 입지 변화를 체계적으로 분석하고, 공간적 접근성을 최적화하는 입지 대안을 제시한다. 이를 위한 사례 분석으로 서울시 마포구를 대상으로 현 동주민센터의 입지 패턴을 분석하고, 공간적 효율성이 최적화된 메디언(median), 공간적 형평성이 최적화된 센터(center), 효율성과 형평성 사이의 상충관계를 고려한 절충적인 대안을 제시하는 센디언(centdian)을 도출함으로써 기존의 입지 패턴을 보다 체계적으로 비교분석한다. 분석 결과는 각 동주민센터의 입지 특성을 공간적 효율성 및 형평성에 따라 체계적으로 평가하고 있으며, 선정된 최적 입지 대안들과 비교해서 현 주민센터의 입지가 전반적으로 효율성 및 형평성 측면에서 공간적으로 최적화되어 있지 않음을 보여주고 있다.