• Title/Summary/Keyword: 손상경험

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Remaining Fatigue Life Evaluation of Steel Railroad Bridge (강철도교의 잔존피로수명 평가)

  • Kim, Sang Hyo;Lee, Sang Woo;Mha, Ho Seong;Kim, Jong Hak
    • Journal of Korean Society of Steel Construction
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    • v.11 no.4 s.41
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    • pp.329-338
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    • 1999
  • A systematic procedure to evaluate fatigue damages and to predict remaining fatigue lives is introduced for a steel railway bridge. Fatigue damages are evaluated by using the currently available fatigue damage theory. Fatigue lives with the condition of fatigue crack initiation are estimated by the probabilistic approach based on the reliability theory as well as the simplified procedure. A equivalent deterministic procedure is also suggested to assess the remaining fatigue life under various traffic conditions. Numerical simulations are used to assess dynamic stress histories with correction factors. Loading models are obtained from the passenger volume data. Train coincidences are also considered. Based on the results, the fatigue life is found to be underestimated by without considering the coincidence of trains on the bridge. The simplified method proposed in this study are found to yield approximately the same results as the systematic procedure.

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Clinical Analysis of Traumatic Diaphragmatic injuries Report of 28 cases (외상성 횡경막 손상 28례 분석보고)

  • 장진우;이연재
    • Journal of Chest Surgery
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    • v.30 no.4
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    • pp.402-407
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    • 1997
  • The records of 28 patients with traumatic diaphragmatic injuries seen at Masan Samsung Hospital from march 1986 o March 1995 were reviewed. We treated 21 male and 7 female patients ranging in ages from 5 to 68 years. Thc diaphragimatic injuries were due to blunt trauma in'20 cases(Trawc accident 18, compression injury 1, Human trauma 1) and penetrating injuries 8 cases (all stab wound). Most common symptoms were dyspnea 27 (96%), chest pain 26 (93%), abdomianl pain 8 (29%), comatose mentality 36 (11 %). Chest X-ray were elevated diaphragm in 20 cases(71%) find hemothorax in 18 cases (64%) and 25 cascs (89%) were diagnosed or suspected as diaphragmatic inju,rims prcopcrativcly. The repair of 28 cases were performed with thoracic approach in 20 cases, abdominal approach 7, thoracoabdominal approach in 1 cases. There were 5 death (18%) and all death related to the severity of associated injury. (hypovolcmic shock 3, combined head injury 1, renal failure 1).

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Factors Associated with Work-Related Injuries of Nurses in Small and Medium Sized Hospitals (중소 병원 간호사들의 업무상 손상경험에 영향을 미치는 요인파악)

  • Hwang, Jee-In;Hwang, Eun-Jeong
    • Journal of Korean Academy of Nursing Administration
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    • v.16 no.3
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    • pp.306-313
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    • 2010
  • Purpose: This study was conducted to examine the factors associated with work related injuries of nurses in small and medium sized hospitals. Method: A cross-sectional survey was conducted with nurses in eight hospitals from October 2007 to January 2008. A questionnaire was designed to collect information on nurses' work related injuries, and individual and job related characteristics. The response rate was 65.1%. Data from 294 nurses were analyzed. Multiple logistic regression analysis was performed to determine factors associated with work related injuries. Result: Of the 294 nurses, 19.1% (n=56) responded as having at least one injury during their job performance. The logistic regression analysis revealed that the significant factors influencing work related injuries were job satisfaction, stress recognition, and hospital's location. Nurses with a higher job satisfaction were less likely to experience work related injuries (OR=0.58). Nurses with a higher stress recognition (OR=2.57) and those working at hospitals in metropolitan cities (OR=3.28) were more likely to experience work related injuries. Conclusions: The result of this study indicated that a substantial proportion of nurses in small and medium sized hospitals had experienced injuries related to nursing job. Interventions to prevent work related injuries among nurses should take into account the job satisfaction, stress recognition, and hospital characteristics.

Treatment of Tracheal Stenosis Using Silicone T-tube (기관협착증에 대한 Silicone T-tube의 치료경험)

  • 이종원;정종진;조용범
    • Proceedings of the KOR-BRONCHOESO Conference
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    • 1981.05a
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    • pp.4.3-5
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    • 1981
  • The Silicone tracheal T-tube was designed to maintain an adequate tracheal airway as well as to provide support in the stenotic reconstituted or reconstructed trachea. This report is our experiences with using silicone T-tube which were successfully used to two cases with extensive laryngotracheal trauma, and one case with decannulation difficulty for 9 months. Authors strongly believe that silicone T-tube is an excellent device out of consideration for our experienced cases, though many techniques have been applied for the treatments of tracheal problems.

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Recurrent Post-Traumatic Adrenal Bleeding after Transcatheter Arterial Embolization: A Case Report (외상성 부신 손상에 대한 경카테터 동맥 색전술 후 재발성 출혈: 증례 보고)

  • Hyojoo Kim;Sang Hyun Seo;Hyun Seok Jung
    • Journal of the Korean Society of Radiology
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    • v.84 no.6
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    • pp.1408-1413
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    • 2023
  • Adrenal gland trauma is uncommon and is diagnosed at an increasing frequency using CT scans. However, owing to the rarity of this injury and its diverse clinical presentations and prognoses, there is no consensus on its management. In this case report, a 73-year-old male patient experienced recurrent bleeding in the right adrenal gland due to an in-car traffic accident, which was treated with repeated transcatheter arterial embolization.

Experience of Discharge from Rehabilitation Facility (경수완전손상환자의 재활병동생활 경험 - 퇴원을 중심으로 -)

  • Yee, Oon-Hee
    • The Korean Journal of Rehabilitation Nursing
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    • v.14 no.1
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    • pp.13-23
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    • 2011
  • Purpose: The purpose of this study was to explore and describe the essence of hospital life concerning discharge from rehabilitation facility as defined by clients with complete quadriplegia. Method: This was a qualitative research using Giorgi's descriptive phenomenology. Four participants with complete quadriplegia were participated. Results: The lived experience of discharge from rehabilitation facility among clients with complete quadriplegia was structured by 10 components and was defined as a life event which those patients felt fears and worries to leave the therapeutic environment and to return to their community with various changes due to their disability. During their hospital stay, the patients with quadriplegia were concerning to prepare proper living conditions and their health conditions so that they could keep their life independent and worthy. They also cherished a hope for cure for their cervical injury even at the moment of discharge. Conclusion: This study suggests developing a discharge program which relieves the clients' emotional burden for discharge from inpatient rehabilitation facility and helps them to take an active role in preparing for returning to their daily life.

Subacromial Impingement Syndrome following Hook Plate Fixation for Distal Clavicle Fracture -A Case Report- (원위 쇄골 골절에 대한 금속판 고정술 이후 발생된 견봉하 충돌 증후군 - 증례보고 -)

  • Moon, Kyu-Pill;Kang, Min-Soo;Choi, Sung-Jong
    • Journal of the Korean Arthroscopy Society
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    • v.15 no.1
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    • pp.19-21
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    • 2011
  • Clavicle Hook pate was commonly used in the injury around distal clavicle such as fractures, acromio-clavicular joint injury. We experienced a case of impingement syndrome following operation of distal clavicle fracture using Clavicle Hook plate. So we report this case with a reiview of current literatures.

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통합형 점소성 구성방정식을 적용한 유한요소해석에 관한 연구

  • Kim, Jong-Beom;Lee, Hyeong-Yeon;Yoo, Bong;Kwak, Dae-Young;Lim, Yong-Taek
    • Proceedings of the Korean Nuclear Society Conference
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    • 1995.05a
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    • pp.1014-1020
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    • 1995
  • 고온구조물은 고온에서의 운전상태에 따라 복잡한 하중이력을 경험하게 됨으로써 상온에서 발생하는 손상 기구와는 달리 온도 의존성을 가질 뿐만 아니라, 상온에서 볼 수 없는 크립-피로의 상호작용에 의한 손상현상이 나타나게 된다. 따라서 고온 구조물의 건전성 평가를 위한 비탄성 해석을 신뢰성 있게 수행하기 위해서는 구조물의 비선형 거동을 비교적 정확히 예측할 수 있는 통합 구성방정식의 개발 및 적용과 온도에 따른 재료의 물성치 확보가 필수적이다. 본 연구에서는 통합 점소성 모델인 수정된 Chaboche 모델에 대해서 내연적 시간 적분법을 적용하여 ABAQUS의 UMAT으로 구현하였고, 개발된 프로그램을 이용하여 INCONEL 718을 사용한 단순 인장해석, 반복 소성 특성해석 및 크립 해석을 수행하여 프로그램의 신뢰성을 평가하였다. 또한 원공이 있는 평판에 대한 예제해석을 수행함으로써 개발된 프로그램이 고온구조물의 건전성 평가를 위한 비탄성 해석에 적절하게 적용될 수 있음을 확인하였다.

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GO$_2$/Kerosene를 추진제로 하는 동축 인젝터의 화염 부상 특성에 관한 실험적 연구

  • Moon, Il-Yoon;Kim, Yoo;Park, Hee-Ho;Kim, Sun-Jin
    • Proceedings of the Korean Society of Propulsion Engineers Conference
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    • 1999.04a
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    • pp.4-4
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    • 1999
  • 최근 충남대에서는 다양한 추진제와 연소 조건으로 액체로켓 연소 실험이 진행되고 있으며 그에 비례하여 많은 사고들이 발생하고 있다. 한 예로 GO$_2$/kerosene을 추진제로 하는 노즐삭마 시험용 로켓엔진(추력 1001bf, 연소실 압력 600psia) 개발 중에 화염이 인젝터면에 형성되어 인젝터면을 손상시키는 사고를 여러 번 경험하게 되었다. 본 연구는 인젝터 손상의 원인을 규명하여 안정적인 인젝터 설계에 도움을 주기 위한 목적으로 실험용 동축 인젝터를 제작하여 화염 부상 특성을 실험적으로 연구하였다. 사용된 인젝터는 연료인 Kerosene을 접선형 선회기로부터 90$^{\circ}$의 원뿔 각을 가지고 분무되도록 설계하였으며, 그 주위로 산하제인 GO$_2$가 연소실의 축방향에 수평하게 분무되도록 설계하였다. 2-유체 동축 인젝터의 난류 확산 화염에서 연료와 산화제의 혼합은 화염 특성을 결정하는 주요 변수이므로 인젝터로부터 분무되는 추진제간의 유량을 변화시켜 화염 부상 특성을 연구하였다.

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The Injury and its Related Factors in the Elderly Using the Data of 2008 Community Health Survey (2008 지역사회 건강조사 자료를 이용한 노인의 손상 관련요인)

  • Kwon, Yu-Jin;Ryu, So-Yeon;Shin, Seung-Ok;Chun, In-Ae;Park, Moon-Sook;Shim, Jae-Soon
    • Journal of agricultural medicine and community health
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    • v.39 no.1
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    • pp.1-13
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    • 2014
  • Objective: The objectives were to estimate the rate of the injury in the elderly over the past year and to identify factors related to injury in the elderly in South Korea. Method: Using data from the 2008 Community Health Survey, 43,049 elderly persons, aged 65 years and older, were selected as study subjects. Their experience of injury during the past year and other variables, including socio-demographic factors, health-related factors, and diagnosed chronic diseases, were used. The chi-squared test and multiple logistic regression analysis with weighted analysis were conducted and statistical significance was set at p<0.05. Result: The rate of injury in the elderly during the past year was 5.1%. The most common types of the injury were falling/slipping down and traffic accidents. Factors related to injury in the elderly were living alone, current drinking, depression, poor self-rated health, stroke, and osteoporosis. Living alone (odds ratio 1.23, 95% CI: 1.05-1.45), current drinkers (OR 1.19, 95% CI: 1.05-1.35), poor self-rated health (OR 1.72, 95% CI: 1.43-2.08), depression (OR 1.23, 95% CI: 1.17-1.68), and history of stroke (OR 1.40, 95% CI: 1.17-1.68), and history of osteoporosis (OR 1.45, 95% CI: 1.26-1.66) were related to an increased risk of injury. Conclusions: Intervention programs that consider the risk factors related to injury should be developed and implemented to decrease and prevent injuries in the elderly.