• Title/Summary/Keyword: 손상 빈도수

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A Study on the Causes of Injury Codes by Case-Based Injury Code of External Causes Frequency Analysis (사례 중심의 손상코드 별 손상외인코드 빈도수 분석에 따른 손상코드 발생 원인에 관한 연구)

  • Eun-Mee Choi;Hye-Eun Jin;Jin-Hyoung Jeong
    • The Journal of Korea Institute of Information, Electronics, and Communication Technology
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    • v.16 no.1
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    • pp.50-59
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    • 2023
  • The purpose of this study was to analyze the patients hospitalized with damage by injury code based on data for two years in 2020 and 2021 of A institution located in Gangneung, Gangwon-do. Analyzed the injury codes with a large number of occurrences per year, and analyzed the injury codes of external causes accordingly. The cause of the injury code was analyzed by analyzing the frequency of the injury code of external causes. Injury code S0650 had the highest frequency of injury code of external causes W189 and X5999, which was judged to be the cause of traumatic subdural hemorrhage without open intracranial wounds when falling in an unspecified place or toilet. Injury code S72120 had the highest frequency of injury code of external causes W010 and W180, and it was judged to be the cause of obstructive femoral intertrochanteric fracture that occurs when falling in the residence. The injury code S32090 had a high frequency of X5999, and it was analyzed that it caused the obstructive fracture of the lumbar region due to an accident caused by exposure in an unspecified place, and the injury code S72.090 had a high frequency of W010 and W180. It was confirmed that the cause of the obstructive fracture of the femoral neck was mainly caused by slipping or slipping in the residence, and the injury code S0220 had a high frequency of the injury code of external causes Y049, and it was confirmed that the fibula was fractured mainly by the force or fist. As such, the cause of the injury code was analyzed by analyzing the frequency of the injury code for each injury code of external causes.

영광 3,4호기의 초기 부분충수 운전중 정지냉각 상실 사건에 대한 예비 확률론적 안전성 평가

  • 강대일;성태용;박진희;김길유
    • Proceedings of the Korean Nuclear Society Conference
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    • 1997.10a
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    • pp.759-764
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    • 1997
  • 본 논문에서는 영광 3,4호기의 초기 부분충수 운전중 정지냉각 상실 사건에 대하여 확률론적 안전성평가(Probabilistic Safety Assessment; PSA)를 수행하였다. 1단계 PSA 결과인 노심손상빈도에 크게 영향을 끼치는 인간행위는 THERP(technique for human error rate prediction)를 사용하여 평가하였고, 사고경위는 KIRAP(KAERI integrated reliability analysis code package)을 이용하여 정량화하였다. 영광 3,4호기의 부분충수 운전중 정지냉각 상실 사건에 대한 예비적인 PSA 결과, 노심손상 빈도는 1.43E-6로 평가되었고 노심손상 빈도에 주요하게 기여하는 것은 원자로 냉각재 보충에 대한 운전원의 진단 실패로 나타났다. 노심손상빈도를 감소하는 방안의 하나는 운전원의 진단오류 확률을 낮추기 위해 노심손상까지의 운전원 여유시간을 확장하는 것이다. 그러나 보다 구체적인 결과는 분석에 필요한 여러 가지 자료들을 검토하고 PSA를 다시 수행해야 얻을 수 있을 것으로 판단된다.

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Effects of Dietary Factors on Lymphocyte DNA Damage in Smoking Elderly People in Korea (식이 요인이 SCE 빈도수로 본 흡연노인 임파구 DNA손상에 미치는 영향)

  • 강명희;이정희
    • Journal of the Korean Society of Food Science and Nutrition
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    • v.33 no.3
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    • pp.523-532
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    • 2004
  • The spontaneous frequency of genetic damage and the possible relationship of this damage to dietary and nutritional variables were investigated in peripheral blood lymphocytes from 45 elderly people using sister chromatid exchange (SCE). The relationship of dietary and nutritional factors on SCE was assessed by different degrees of smoking status such as smokers (n=14), ex-smokers (n=16) and non-smokers (n=15). Significant relationship of the SCE frequency to nutrient intake of the combined subjects (n=45) was found. When cigarette smoking status was taken into account, there were negative linear relationships between SCE and fat, phosphorus or vitamin A intakes of the non-smokers as well as SCE and the dietary quality scores. There was a positive linear relationship between SCE and food frequency of meat and fish among the smokers. Use of artificial sweetners in ex-smokers of the elderly people produced a significant increase of SCE in comparison with the mean SCE for those not using sweetners. Other dietary parameters, including intake of coffee, green tea and ginseng tea, alcohol consumption, use of processed foods, and administration of vitamin pills did not show any correlation with SCE. These results suggested that dietary fat, phosphorus or vitamin A status are the major determinants of spontaneous DNA damage in lymphocytes of the elderly people.

Comparison of the Injury Mechanism, Pattern and Initial Management Approach for Orthopedic Injuries According to the Injury Severity in Moderate-to-Severe Injured Patients (중등도 이상의 손상 환자에서 손상 중증도에 따른 정형외과적 손상에 대한 수상기전, 손상유형, 초기 치료적 접근의 비교)

  • Lee, Eui-Sup;Sohn, Hoon-Sang;Kim, Younghwan;Shon, Min Soo
    • Journal of the Korean Orthopaedic Association
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    • v.55 no.5
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    • pp.383-396
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    • 2020
  • Purpose: This study compared the injury mechanism, site, type, initial management approach of orthopedic injury, and outcomes according to the injury severity in moderate-to-severe injured patients. Materials and Methods: During 57-month, excluding the period when the authors' emergency/trauma center was not operating, from 2014 to 2019, a retrospective study was conducted on 778 patients with orthopedic injuries among patients with an Injury Severity Score (ISS)>9 scored. The patients were classified into moderate-injured group (group-1, 679) and severe-injured group (group-2, 99) according to the injury severity based on the ISS and physiologic parameters. The injury mechanism and non-orthopedic injury were evaluated. Orthopedic injuries were assessed according to the injury pattern and the number of anatomical regions and bone sites involved. The management approach for the orthopedic injuries in two groups was compared. Outcomes (hospital stay, systemic complications, and in-hospital mortality) were evaluated, and the risk factors for mortality were analyzed. Results: In group-2, the incidence of younger males, high-energy mechanisms, and accompanying injuries was significantly higher than in group-1. The number of anatomical regions and bone sites involved increased in group-2. The involvement of the pelvis, spine, and upper extremity was significantly higher in group-2, whereas group-1 was involved mainly by the lower extremities. Depending on the patient's condition, definitive or staged management for orthopedic injuries may be used. Group-1 was treated mainly with definite fixation after the physiological stabilization process, and group-2 was treated with staged management using temporary external fixation. The hospital stay was significantly longer in group-2. The overall systematic complications and in-hospital mortality was approximately 4.9% and 4.5%. A higher injury severity was associated with higher in-hospital mortality (2.9%, 15.2%; p<0.0001). Increasing age and high ISS are independent risk factors for mortality. Conclusion: A higher severity of injury was associated with a higher incidence of high-energy mechanism, younger, male, accompanying injuries, and the frequency and severity of orthopedic injuries. Severe polytrauma patients were treated mainly with a staged approach, such as external fixation. The hospital stay, systematic complications, and in-hospital mortality were significantly higher in severe-injured patients. Age and ISS are strong predictors of in-hospital mortality in polytrauma.

A Study on the Main Diagnostic Code according to the Analysis of the Frequency of Fall Patients by Case-Centered Damage External Code (사례 중심의 손상외인코드 별 낙상환자 빈도수 분석에 따른 주진단코드 연구)

  • Eun-Mee Choi;Ye-Ji Park;So-Hyeon Bang;Jin-Hyoung Jeong
    • The Journal of Korea Institute of Information, Electronics, and Communication Technology
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    • v.16 no.6
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    • pp.533-539
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    • 2023
  • This study aimed to analyze patients hospitalized for injuries who fell using the data from 2020 to 2021 at institution A located in Gangneung-si, Gangwon-do, using codes for causes of injury. After classifying 20 codes from W00 to W19, which are external cause codes for fall patients, the most frequently occurring W18, W01, W10, and W13 were analyzed. The external cause of injury code W18 was other falls on the same plane, with the highest frequency of S72 and Z47, S72 being a fracture of the femur, and Z47 being orthopedic follow-up treatment. The external injury code W01 was determined to be a fall on the same plane due to slipping, tripping, and tripping, and like W18, S72, a fracture of the femur, and Z47, orthopedic follow-up treatment, were frequently reported. In W10, intracranial injuries such as concussion and epidural hemorrhage due to a fall on the stairs, S06, were common. Lastly, in W13, 91% of cases occurred in people in their 40s to 70s due to falls from buildings or structures, confirming that they occur frequently in middle-aged people, Z47 had the most frequent orthopedic follow-up treatment, and S72 had a fracture of the femur. It was found to be the second most common. In this way, the frequency of falling patients was analyzed, and the age and main diagnosis code at which most falls occurred were analyzed.

Frequence Analysis for City Gas Pipeline (도시가스 배관의 설비손상확률평가)

  • Park Kyo-Shik;Lee Jin-Han;Jo Young-Do;Park Jin-Hee
    • Journal of the Korean Institute of Gas
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    • v.7 no.2 s.19
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    • pp.14-21
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    • 2003
  • Frequency analysis of city gas pipeline was studied and then the method to give frequencies of failure by the third-party digging, corrosion, ground movement, and equipment failure which were known to be the major cause of risk of city gas pipeline. The failure by the third-party digging was analyzed by fault tree analysis and the failure by corrosion was analyzed by applying equation calculating remaining strength with time. The failure by ground movement was evaluated by applying modified model which was induced through weighing factors with basic failure rate model. The failure rate of equipment was calculated with both generic and specific data

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PSA 기법을 이용한 가압경수로 부분충수운전 안전성 향상방안

  • 박진희;이윤환
    • Proceedings of the Korean Nuclear Society Conference
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    • 1996.05b
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    • pp.604-609
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    • 1996
  • 원자력 발전소 부분 충수운전 중에 발생할 수 있는 정지냉각기능 상실사고인 과배수 사건에 대한 확률론적 안전성 평가를 수행하였다. 본 분석의 주된 목적은 과배수로 인한 정지냉각기능 상실사건에 대하여 노심손상 빈도를 계산하고 안전성 향상방안을 도출하는데 있다. 과배수 사건은 초기 부분 충수운전중 발생하는 것으로 가정하였으며 이 때의 발전소 배열(Plant Configuration)은 영광 3,4호기의 운전절차서 및 발전소 운전경험을 근거로 결정하여. 현재 운전상태에 대한 확률론적 안전성평가를 수행하였다. 분석결과 인간오류가 노심손상빈도에 가장크게 기여하는 인자로 나타났으며 인간오류를 줄 일수 있는 대체냉각 절차를 선정하여 재분석을 수행하였다. 고려된 대체냉각 수단은 피동적인 잔열제거 방법인 열규응축냉각(Reflux Cooling)과 정지냉각펌프의 대체계통으로 격납용기 살수펌프를 사용하는 경우의 두가지이다. 본 분석에서는 두가지 대체냉각수단을 모두 채택하는 것으로 가정하여 대체냉각 사용에 따른 효과를 비교하였는데 노심손상 빈도가 1/1000로 감소 하였다. 따라서 절차서 개정에 의한 대체 냉각수단확보는 부분 충수운전중 발전소 안전성 향상에 매우 효과가 큰 것으로 나타났다.

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The effect of erythropoietin in neonatal rat model of hypoxic-ischemic brain injury (Erythropoietin의 투여가 신생백서 저산소허혈뇌손상에 미치는 영향)

  • Kim, Heng-Mi;Choe, Byung-Ho;Kwon, Soon-Hak;Sohn, Yoon-Kyung
    • Clinical and Experimental Pediatrics
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    • v.52 no.1
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    • pp.105-110
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    • 2009
  • Purpose : Perinatal asphyxia is an important cause of neonatal mortality and subsequent lifelong neurodevelopmental handicaps. Although many treatment strategies have been tested, there is currently no clinically effective treatment to prevent or reduce the harmful effects of hypoxia and ischemia in humans. Erythropoietin (Epo) has been shown to exert neuroprotective effects in various brain injury models although the exact mechanisms through which Epo functions are not completely understood. This study investigates the effect of Epo on hypoxic-ischemic (HI) brain injury and the possibility that its neuroprotective actions may be associated with iron-mediated metabolism. Methods : HI brain injury was produced in 7-day-old rats by unilateral carotid artery ligation followed by hypoxia with 8% oxygen for 2 h. At the end of HI brain injury, the rats received an intraperitoneal injection of 5,000 units/kg erythropoietin. Random premedication with iron, deferoxamine, iron-deferoxamine, or saline were performed 23 d before HI brain injury. The severity of the brain injury was assessed at 7 d after HI. Results : Single Epo treatment post-HI brain injury reduced the gross and histopathological findings of brain injury. Iron premedication did not increase the incidence or severity of the injury as measured by the damage score. Deferoxamine administration before HI brain injury improved the brain injury as compared to no treatment or Epo treatment. Conclusion : These findings indicate that Epo provides neuroprotective benefits after HI in the developing brain. These findings suggest that Epos neuroprotective actions may involve reducing iron in tissues that mediate the formation of free radicals.