• Journal of the Korea Convergence Society
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• v.8 no.6
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• pp.121-130
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• 2017

The purposed of this study was to identify the factors that affect Confidence in Performance Patient Safety Management targeted nursing students. The study subjects were 228 nursing students. The nursing students experienced patientl safety accidents in the fall (50.0%), needle puncture (18.5%), Patient identification error (12.0%), injection medication error (7.5%) and oral medication errors (4.3%). In the logistic regression analysis, Attitude of Patient Safety Management(t=6.09, p<.001), Clinical Decision Making(t=3.97, p<.001) and gender(t=2.56, p=.011) were significant factors related to Confidence of Performance Patient Safety Management. Based on the results of this study, we propose to develop a convergence education program that considers patient safety management attitude, clinical decision making ability, and gender in order to improve confidence of performance patient safety management of nursing students.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.20 no.6
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• pp.402-409
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• 2019

Patients with dementia or elderly patients who can not move at all by themselves are at a high risk of falls and bedsore due to lack of caregivers. In this paper, to solve this problem, we propose an algorithm to determine the patient's lying postures by discriminating the main body parts such as head, shoulders, and hips based on the pressure intensity sensed at regular intervals. A smart mat with a lattice structure in which a pressure sensor is arranged so that the body part can be discriminated irrespective of the physical characteristics has been implemented. It consists of two modules of $7{\times}7$ array size. Each module consists of 49 FSR-406 sensors and independently senses pressure. For each module, the body part corresponding to the upper body or the lower body is sequentially discriminated by using a pressure distribution such as a cumulative pressure sum using a filter. The proposed algorithm can identify five lying positions by examining the inclusion relationship between body parts belonging to layer-1 such as head, shoulder, and hip area.

• Journal of Digital Convergence
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• v.17 no.1
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• pp.219-227
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• 2019

The purpose of this study was to investigate the knowledge on patient safety and performance confidence for the subject of health-related major students. Participants were 349 Health-related majors. Data were analyzed using SPSS 21.0. According to the study results, correct answer rate for patients' knowledge on safety was 65.7% in average. Average point of performance confidence was $7.11{\pm}1.74$. Considering in terms of question, patient identification was high, while effective communication was shown to be low. Patient identification, communication, surgery procedure, fall, patient's safety accident report as the lower domain for patients' knowledge on safety and performance confidence had a positive correlation, while knowledge and infection management, facility environment had a negative correlation for health-related major students, development of patients' safety education program is needed to enhance importance of patients' safety before clinical practice and to allow implementation of safe clinical practice.

• Proceedings of the Korea Water Resources Association Conference
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• 2021.06a
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• pp.80-80
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• 2021

2020년은 장마와 태풍으로 인해 중부 및 남부지방에 폭우가 발생하여 강남역을 비롯한 지하철 역사와 지하 주차장 등 많은 지하시설이 침수되었고, 부산에서는 침수된 지하차도에 진입한 차량의 운전자가 사망하는 등의 사고가 발생하였다. 지하에 설치된 시설들은 침수가 발생할 경우 대부분 출입구를 통해 유입되는 물을 거슬러 대피해야 하므로 낙상과 그로 인한 익사 등 자칫 큰 인명피해를 초래할 수 있어 특별히 주의할 필요가 있다. 대피 여부를 결정하고 그에 필요한 시간을 계산하기 위해서는 안전하게 대피 가능한 최대수심(한계수심)을 결정하는 것이 필요하다. 현재 한계수심을 제시한 여러 연구가 있지만 대부분 소수의 성인만을 대상으로 한 실험 결과이기 때문에 성별, 연령, 체중 등 다양한 유형의 사람을 고려한 대피방법 제시가 필요하다. 이에 본 연구에서는 실험 참가자의 유형(성별, 연령, 체중, 신장)에 따른 대피시간의 차이를 고려한 한계수심을 제시할 수 있도록 하였다. 총 308명이 실험에 참여하였으며, 이중 남성은 164명, 여성은 144명이었다. 참가자의 연령은 14세부터 75세까지이며, 신장은 최소 145cm에서 최대 187cm, 체중은 35kgf에서 110kgf 범위이다. 대피시간은 물이 흘러 내려오는 5.1m 길이의 계단을, 난간을 잡은 채 거슬러 올라가는 시간으로 설정하였으며, 계단 상층부의 수심이 30cm일 때와 40cm일 때(한계수심 조건), 2회 측정하였다. 또한, 측정이 종료된 후, '안전하게 대피 가능할 것으로 예상되는 수심'을 선택하도록 하여 참가자가 체감한 실험 난이도를 간접적으로 확인하고 향후 연구에 활용할 수 있도록 하였다. 수집된 자료를 분석한 결과 여성의 경우 수심 30cm와 40cm의 평균 대피시간이 4초 정도의 차이가 나타났으나, 남성의 경우 유의미한 차이가 나타나지 않았다. 또한 '안전하게 대피 가능할 것으로 예상되는 수심'에 대한 답변으로 다수가 실험의 최대 수심 조건인 40cm 이상을 선택하였다. 이와 같은 결과를 보아, 실험의 난도가 높지 않았다고 예상할 수 있으며, 그 원인은 참가자의 안전을 고려해 실험 조건을 난간을 잡은 채 보행하도록 설정한 것이 한계수심을 증가시키는 결과를 가져왔다고 볼 수 있다. 유형에 따른 대피시간의 차이를 분석하기 위해서는 실험의 한계수심 조건을 높이거나, 난간을 잡지 않고 보행할 수 있도록 안전장치를 추가하는 등, 실험조건의 변화가 필요할 것으로 판단되며, 추가적으로 난간을 잡은 채 보행하는 것이 한계수심을 얼마나 높일 수 있는지에 대한 검토를 통하여 정량적인 대피가능 시간을 제시할 수 있을 것으로 사료된다.

• Maxillofacial Plastic and Reconstructive Surgery
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• v.13 no.1
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• pp.63-68
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• 1991

The author has arrived at the following result after having carried out multilateral study based on a total of 282 maxillofacial fracture patients who have receive treatment at the Euijeongbu general hospital and Shinchun general hospital in the northern district of Kyunggido from march 1988 to august 1990. 1. Sex distribution of Mx. facial fx. patient was higher in male by 4.6:1 and was predominant in the 3rd decade with 40.4% followed in decreasing order by the 2nd decade and the 4th. 2. A majority were in the Mn. with 40.2% followed in decreasing order by zygoma. nasal bone and maxilla. 3. For the sex distribution according to anatomy, make to female ratio was 6.2:1 in the mandible, followed in decreasing order by zygoma, and nasal bone with predominance in male. 4. Car accident with 42.8% was the most common cause of fx. followed in decreasing order by violence, workmen's accident, and fall down. 5. The involvement of other trauma areas are head. 79.0%, abdomen-thorax, and the extremities in decreasing order. 6. In the mandibular fx. a majority were in the symphysis with 73.9% followed in decreasing order by angle, Condyle, and body. 7. Maxillary fx. of the type LeFort II was estimated to be 41.2% 8. Fracture in the zygoma including zygomatic arch was estimated to be 72.5%

• Journal of Chest Surgery
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• v.43 no.6
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• pp.675-680
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• 2010

Background: The aim of this study was to identify the distinguishing clinicoradiologic findings of traumatic tracheobronchial injury. Material and Method: Between January 2003 and December 2009, six patients who underwent surgical repair for traumatic tracheobronchial injury due to blunt trauma were included in this study. We evaluated the mechanism of the injury, the coexisting injuries, the time until the making diagnosis and treatment, the diagnostic methods, the anatomic location of the injury and the surgical outcomes. Result: The mechanisms of injury were traffic accident and crushing forces. The frequent symptoms were subcutaneous emphysema, dyspnea and pain, and the common radiologic findings were pneumothorax, mediastinal emphysema, rib fracture and lung contusion. Only 2 patients were diagnosed by chest CT and the others were not diagnosed preoperatively. The location of injury was the trachea in 2 patients and the bronchial tree in 4 patients. There was no postoperative mortality or anastomotic leak; however, vocal cord palsy occurred in one patient. The most distinguishing sign was persistent lung collapse even though the chest tube was connected with negative pressure. Conclusion: Although it was not easy to diagnose traumatic tracheobronchial injury without a clinical suspicion, the distinguishing clinical symptoms and CT findings could help to make an early diagnosis without performing bronchoscopy.

• Journal of Korean Orthopaedic Sports Medicine
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• v.5 no.1
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• pp.75-80
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• 2006

Purpose: To evaluate the efficiency of Acutrak screw fixation for radial head fracture (Mason type 2) without considering the safe Bone of radial head. Materials and Methods: Consecutive seven radial head fracture of Mason type II underwent internal fixation with Acutrak screws from May 2001 to February 2003. The mean follow-up period was 1.2years (ranged, $6 months{\sim}2.5 years$). The mean age of patients was 47 years old (ranged, $36{\sim}60years$ old). The cause of injury were fall down -4 cases and traffic accident -3 cases. The results were evaluated by Mayo Clinic results scoring system. Results: Functional Rating Index of Mayo Clinic was excellent- 2 cases and good- 5 cases. There were no nonunion, loosening, heterotopic ossification, infection or degenerative changes. The postoperative range of motion in elbow joint is nearly full for flexion, extension, pronation and supination in this study Conclusion: Consideration of safe zone is not necessary when Acutrak screws are used for radial head fracture. It seems to be a useful method that Acutrak screw fixation for radial head fracture (Mason type II) could achieve good radiologic and clinical results without influencing proximal radio-ulnar joint and has powerful fixation.

• Journal of Korean Society of Transportation
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• v.35 no.5
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• pp.396-408
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• 2017

In Korea, the number of elderly has been increasing rapidly. So it is also expected that the economic activity and the trip frequency of the elderly will increase. On the other hand, elderly related accidents such as falls during walking are steadily increasing and the satisfaction about pedestrian environment of elderly is very low. In this paper, we found one of the reasons for these dissatisfaction in pedestrian facility, which is not considering the walking ability (about 75% of non-elderly person) of the elderly. So, we analyze the kinematic walking characteristics of the elderly with the motion analysis system, when the elderly use stairs. As a result of analysis of various walking variables, the current standard for stairway height in Korean law (18cm) requires excessive force to elderly so it was difficult for elderly to keep the balance of the body in ascending and descending walk of stairs. In this paper, we propose the stair design criteria through the cluster analysis of walking parameters reflecting the gait characteristics of the elderly. This change is not a big for non-elderly person, but it can promote more socioeconomic activities for the elderly.

• Journal of Chest Surgery
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• v.42 no.2
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• pp.226-232
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• 2009

Background: Blunt chest trauma accounts for 90% of all chest traumas in Europe and the United States and this causes 20% of all trauma-related deaths. The major cause of morbidity and mortality after blunt chest trauma is undetected injuries. For this reason, chest computerized tomography has gained popularity for the evaluation of trauma, but it is expensive and it exposes patients to radiation. This study identified the clinical features associated with the diagnosic information obtained on a CT chest scan, as compared with a standard chest X-ray, for patients who sustained blunt trauma to the chest. This study also evaluated the role of a routine computed tomographic (CT) scan for these patients. The patients who had chest computed tomography done after the initial chest x-ray were analyzed separately for the presence of occult injuries. Material and Method: We studied 100 consecutive patients from November 2006 to July 2007: 74 patients after motor vehicle crashes and 26 patients after a fall from a height >2m. Simultaneous with the initial clinical evaluation, an anteroposterior chest radiograph and a helical chest CT scan were obtained for all the patients. The data extracted from the medical record included the vital signs, the interventions and the type and severity of injury (RTS). Result: Among the 100 cases, 79 patients showed at least more than one pathologic sign on their chest radiograph, and 21 patients had a normal chest radiograph. For 17 of the patients who had a normal chest X ray, the CT scan showed multiple injuries, which were pneumothorax, hemothorax, lung contusion, sternal fracture etc. This represents that a CT scan is statistically superior to a chest radiograph to diagnose the pathologic signs. But on the other hand, as for treatment, only 31 patients were diagnosed by CT scan and they were treated with chest tube insertion ect. 42 patients needed ony conservative management without invasive thoracosurgical treatment such as chest tube insertion or open thoracotomy. 27 patients were treated based on the diagnosis made by the chest radiograph and physical examination. Conclusion: Chest computerized tomography was significantly more effective than routine chest X-ray for detecting lung contusion, pneumothorax and mediastinal hematoma, as well as fractured ribs, scapula and, sternum. Although the occult findings increased, the number of patients who needed treatment was small. Therefore, we suggest making selective use of a CT scan to avoid its overuse in ERs.

• Journal of the Korean Society of Radiology
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• v.16 no.4
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• pp.477-490
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• 2022

Serious Accident Punishment Act(SAPA) went into effect as of Jan. 27, 2022. The subject of study was the worker of the nuclear medicine department and the investigation was aimed at identifying the present situation of their understanding on the issue in the here and now, which can be utilized as basic research for further study. The survey was conducted on 51 people of the worker in the nuclear medicine department. The general factors were classified by their gender, the scale of the hospitals, the period of career, and the detailed occupational categories. The conclusion was drawn, including 1 missing data in gender and 2 in the type of occupation. The targeted hospitals were tertiary hospital, university hospital, and general hospital which have nuclear medicine department in. The period of subjects' career was categorized by less than 3 years, 3 to 5 years, 5 to 10 years, and more than 10 years. The specific occupation was classified by in-vivo radiological technologist, radiation safety manager and others. The amount of pressure that the job entails was highest in the category of general hospital, the period of 3 to 5 years of job experience, and radiation safety manager each. The system of the code was well constructed in the category of general hospital, the period of less than 3-year career, and radiation safety manager, as they responded. The blood transmissible disease had the largest number of outbreak of accidents related to the serious industrial accident. In addition, the radiopharmaceutical dosing error had the highest number of outbreak of accidents related to the serious civil accident. Therefore, we need to improve SAPA, facility inspection, security of budget, security of professional manpower. It will help the stable use of radiation and ensure patient safety.