• 지적과 국토정보
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• 제49권2호
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• pp.123-134
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• 2019

지적 분야의 세계측지계 도입은 세계적인 표준을 도입하고, 공간정보 기반의 타 산업과 융복합 함으로써 신산업창출의 기반이 될 수 있다. 하지만 ｢공간정보의 구축 및 관리 등에 관한 법률｣의 기본 목적인 국민의 소유권 보호 측면에서 새로운 불부합지의 발생가능성이 있기 때문에 이에 대한 해결방안이 필요한 실정이다. 본 연구에서는 세계측지계 변환에 따른 사례 조사를 분석하고, 이에 따른 문제점을 파악하여, 이 문제점을 해결하기 위한 제도적 개선방안을 제시하고자 한다. 이를 위하여 사유지간 겹치는 사례와 국공유지간 겹치는 사례를 통하여 현장에서 발생하는 문제점 해결을 위한 제도적인 개선방안을 도출하고자 한다. 개선방안으로 세계측지계로 변환된 도면에 지적공부로서의 기능을 부여하기 위해 세계측지계 변환 검증측량을 도입해야한다. 또한 검증측량을 통해 경계조정 및 위치정정이 가능하도록 법적 제도적 근거를 확립해야 한다. 마지막으로 업무지역별로 측량성과가 다르기 때문에 공통점의 좌표값도 달라짐에 따라 변환계수를 결정하기가 어려운 실정이다. 따라서 2021년 세계측지계에 의한 지적측량 기준을 사용하는 것을 연기해야 할 것으로 판단된다.

• Journal of Trauma and Injury
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• 제25권4호
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• pp.139-144
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• 2012

Purpose: Hypovolemic shock is the leading cause of death in multiple trauma patients with pelvic bone fracures. The purpose of this study was to develop a simple prediction method for injury severity and amount of hemorrhage via an analysis of the correlation between the site of pelvic bone fracture and the amount of transfusion and to verify the usefulness of the such a simple scoring system. Methods: We analyzed retrospectively the medical records and radiologic examination of 102 patients who had been diagnosed as having a pelvic bone fracture and who had visited the Emergency Department between January 2007 and December 2011. Fracture sites in the pelvis were confirmed and re-classified anatomically as pubis, ilium or sacrum. A multiple linear regression analysis was performed on the amount of transfusion, and a simplified scoring system was developed. The predictive value of the amount of transfusion for the scoring system as verified by using the receiver operating characteristics (ROC). The area under the curve of the ROC was compared with the injury severity score (ISS). Results: From among the 102 patients, 97 patients (M:F=68:29, mean $age=46.7{\pm}16.6years$) were enrolled for analysis. The average ISS of the patients was $16.2{\pm}7.9$, and the average amount of packed RBC transfusion for 24 hr was $3.9{\pm}4.6units$. The regression equation resulting from the multiple linear regression analysis was 'packed RBC units=1.40${\times}$(sacrum fracture)+1.72${\times}$(pubis fracture)+1.67${\times}$(ilium fracture)+0.36' and was found to be suitable (p=0.005). We simplified the regression equation to 'Pelvic Bleeding Score=sacrum+pubis+ilium.' Each fractured site was scored as 0(no fracture) point, 1(right or left) point, or 2(both) points. Sacrum had only 0 or 1 point. The score ranged from 0 to 5. The area under the curve (AUC) of the ROC was 0.718 (95% CI: 0.588-0.848, p=0.009). For an upper Pelvis Bleeding Score of 3 points, the sensitivity of the prediction for a massive transfusion was 71.4%, and the specificity was 69.9%. Conclusion: We developed a simplified scoring system for the anatomical fracture sites in the pelvis to predict the requirement for a transfusion (Pelvis Bleeding Score (PBS)). The PBS, compared with the ISS, is considered a useful predictor of the need for a transfusion during initial management.