• 한국심리학회지 : 문화 및 사회문제
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• 제23권2호
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• pp.215-237
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• 2017

의료사고 관련 연구들은 의료분쟁 및 피해구제와 관련한 법이론적 연구가 대부분이며 의료사고 환자들의 심리적 경험을 심층적으로 탐구한 연구는 부족한 실정이다. 이에 본 연구는 의료사고를 겪은 환자들의 외상후 스트레스 장애(Post Traumatic Stress Disorder: PTSD) 현황을 알아보고, 의료진의 설명 및 태도와 PTSD 증상의 관계에서 사회적 지지의 조절효과를 검증하였다. 의료사고 단체와 의료사고 관련 온라인 커뮤니티에서 모집된 총 180명의 의료사고 환자의 자료가 분석에 사용되었다. 분석 결과, 연구대상자 중 171명(95%)이 완전 PTSD 증상 수준으로 선별되었으며 다른 외상 경험자들과 비교해도 PTSD 증상의 심각도가 높은 것을 확인하였다. 또한 의료진의 설명 및 태도가 PTSD 증상에 미치는 주효과는 유의미하지 않았지만 의료진의 설명 및 태도와 PTSD 증상의 관계에서 사회적 지지 수준의 조절효과가 유의한 것으로 나타났다. 즉, 사회적 지지 수준이 높을 때는 의료진의 설명 및 태도에 따른 PTSD 증상의 유의미한 변화가 없었으나, 사회적 지지 수준이 낮을 때는 의료진의 설명 및 태도가 미흡할수록 PTSD 증상이 악화되었다. 이러한 연구 결과를 바탕으로 의료사고 환자들의 PTSD 증상을 완화하고 예방하는데 있어 심리적, 사회적, 제도적 방안들을 제언하였다. 마지막으로 본 연구의 제한점과 향후 연구 방향에 대해 논의하였다.

• 산업진흥연구
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• 제9권2호
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• pp.69-75
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• 2024

한국은 경제 규모, 기술경쟁력 등 다수의 주요 지표에서 선진국 대열에 진입하였으나, 산업재해 재해율은 여전히 OECD 국가 중 최하위권 수준이며, 최근에도 각종 건물 붕괴 등으로 다수의 근로자 또는 시민이 사망하는 후진국형 재해가 발생하고 있다. 고용노동부의 2022년 산업재해 현황분석에 따르면 2022년 전산업 업무상 사고사망자 874명 중 건설업 업무상 사고사망자는 402명이며 이는 전체 사고사망자의 약 46%를 차지한다. 특히, 건설업 사고사망만인율은 1.61로 전산업 사고사망만인율인 0.43이 비해 월등히 높은 수준이며, 건설업은 광업 12.18, 어업 1.80 다음으로 사고사망만인율이 높아 그 심각성을 나타내고 있다. 건설공사를 유형에 따라 민간공사와 공공공사로 나누어 볼 때 민간공사가 수주 및 기성 금액면에서나 사고 건수, 사망자수에서 공공공사보다 월등히 높은 수치를 기록하고 있다. 하지만 공공기관에 비해 대다수의 민간 발주자는 안전보건 활동이 미비하고 안전보건체계 구축이 되지 않은 곳이 많다. 본 연구는 민간 발주자의 안전보건 체계 구축과 안전보건활동 강화의 필요성에 대한 제언을 통하여 민간 발주자에 경각심을 알리고 앞으로 선진적인 민간 발주자의 안전보건 발전 방향에 대해 고찰해 보고자 한다.

• 대한간호학회지
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• 제23권4호
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• pp.585-601
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• 1993

Data on 63 patients who had had motorcycle accidents and who were admitted to four general hospitals in the Chung Chung Nam Do area from July / 1993 to August 1993 were analyzed. The tool used for this study was a structured questionnaire which consisted of ten items on self- esteem, 18 items on health locus of control and 37 items profiling health prometion lifestyle. Injury severity scores were calculated bated based on data from the patients’ medical records. The collected data were analyzed using the SPSS, yielding descriptive statistics, t-test, ANOVA, Pearson’s Product Moment Correlation. The findings of this study are as follows. 1) Of the 63 injured motorcyclists, 35(55.6%) were helmeted and 28(44.4%) were nonhelmeted, and the nonhelmeted motorcyclists were predominantly young and male. The demographic variables for the helmeted and nonhelmeted groups were heterogeneous for age and occupation. 2) The results of the comparison between the two groups showed a statistically significant difference in the injury severity score(t=-4.70, p=0.000). The helmeted group had lower scores on injury severity score (9.00±3.93) than the nonhelmeted group(14.32土5.05). More than 60% of the nonhelmeted motorcyclists had brain injuries compared to only a third of the helmeted cyclists. 3) There .was a statistically significant difference between the two groups on self esteem(t=4.5, 000). The helmeted group had a higher mean score (31.27±2.72) than the nonhelmeted group(27.46±3.80). 4) The means for Internal health locus of control (IHLC), Powerful others health locus of control (PHLC), and Chance health locus of control (CHLC) in the two groups were similar to instrument norms reported in other literature. The mean scores on the IHLC in the two groups were higher than scores on the PHLC or the CHLC. However, there was a significant difference between the mean scores for the two groups on the PHLC (t=2.85, P=0.006). 5) The mean score for the helmeted group on the health promotion lifestyle profile was higher than the mean score for the nonhelmeted group(107.30±11.10, 96.57土 15.54 respectively), and there was a significant difference between the mean scores (t=3.64, p=0.001) . The highest score for helmeted group on the health promotion lifestyle profile was in the health care domain. However, for the nonhelmeted group the highest score was in the exercise domain and the lowest score was in the health care domain. 6) With regard to the relationship between health promotion lifestyle, health locus of control and self esteem in the two groups, the correlation coefficient between health promotion lifestyle and internal health locus of control for the helmeted group was 50(p〈0.01). For the nonhelmeted group, there was no correlation between health promotion lifestyle and internal health locus of control. However, there were significant correlation between health pro-motion lifestyle and external locus of control(r=0. 46, p〈0.01), and self esteem(r=0.495, p〈0.01). 7) Among the demographic variables, age and education had an impact on individual’s self-esteem The modifying factors of age made a contribution to explaining health - promoting lifestyle. In the present study, more than 40% rf the motorcyclists were riding without a helmet. The incidence of brain injury for patients riding without a helmet was nearly twice as high in the nonhelmeted rider as compared to the helmeted rider. The nonhelmeted motorcyclists in this study had lower self-esteem, obtained a higher score on the IHLC, and were not strongly engaged in performing health promotion activities as compared to the helmeted riders. However, some of the nonhelmeted riders who had a strong belief in PHLC were positively associated with engaging in health promotion activities. Based on the results obtained from this study, strategies to promote helmet usage for motorcyclists have to be developed.

• Korean Chemical Engineering Research
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• 제55권1호
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• pp.40-47
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• 2017

가연성 분진이 제조 취급되는 공정에서의 분진폭발 위험성은 항상 존재한다. 그러나 산업현장에서 취급되는 분진에 대한 분진폭발 특성 정보는 아주 미흡한 실정으로 사업장에서는 화학사고 예방대책 수립에 어려움을 겪고 있다. 본 연구에서는 입도분포가 다른 두 종류의 다중벽 탄소나노튜브(MWCNT)에 대한 분진폭발 특성을 실험적으로 조사하였으며, NFPA 499 Code를 적용하여 MWCNT 제조 취급 공정의 분진폭발 위험장소 구분을 검토하였다. 그 결과 평균입도가 $124.2{\mu}m$인 MWCNT 1의 $P_{max}$, $K_{st}$, LEL, MIE, 및 MIT는 각각 6.3 bar, $56bar{\cdot}m/s$, $125g/m^3$, 1000 mJ 초과 및 $650^{\circ}C$ 초과로 나타났다. 평균입도가 $293.5{\mu}m$인 MWCNT 2의 $P_{max}$, $K_{st}$, LEL, MIE, MIT는 각각 6.2 bar, $42bar{\cdot}m/s$, $100g/m^3$, 1000 mJ 초과 및 $650^{\circ}C$ 초과로 나타났다. NFPA 499 Code에 따른 MWCNT 1, 2의 폭발강도와 점화감도는 각각 0.35와 0.01 미만으로 나타났기 때문에 MWCNT는 NFPA 499 Code에서 제시된 분진폭발 위험장소로 구분하여야 하는 가연성 분진으로 분류되지 않았다.

• 디지털콘텐츠학회 논문지
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• 제19권1호
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• pp.93-102
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• 2018

본 연구는 지능화된 보안 위협에 인터넷 이용자의 정보보호 행동 요인을 분석하여 정책적 시사점을 제안하고자 한다. 연구 모델은 보호동기이론과 UTAUT2를 기반으로, 인지된 위협, 심각성, 사회적 영향, 자기효능감, 정보보안 제품 이용 경험 및 습관, PC/개인정보보호 행동, 신규 서비스의 정보보호 행동으로 구성 하였고, 인구 통계학적 특성과 인터넷 사용 장소, 유료 보안제품 이용, 침해사고 경험 등을 조절변수로 하여 인터넷 이용자의 보안 행동에 미치는 영향을 분석하였다. 연구 결과는 인지된 심각성, 자기효능감이 보안 제품 이용 경험 및 습관에 높은 영향을 미쳤으며, 경험 및 습관, 자기효능감은 PC/개인정보보호 행동에 높은 영향을 미치고, PC/개인정보보호 행동은 신규 서비스의 보안 행동에 높은 영향을 미치는 것으로 나타났다. 연령, 소득, 유료 보안제품 이용, 침해사고 경험은 인터넷 이용자의 정보보안 행동에 조절효과가 있었다. 본 연구의 결과가 인터넷 이용자의 정보보호 수준 향상을 위한 정책 의사결정에 도움을 줄 것으로 기대한다.

• 융합정보논문지
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• 제12권5호
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• pp.1-14
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• 2022

본 연구는 인공지능 서비스과정에서 개인정보를 포함한 데이터가 처리되고 있고, 그 과정에서 발생 가능한 개인정보 침해사고를 방지하기 위한 해결방안으로 개인정보 침해요인에 대응하는 위기관리 컴플라이언스를 마련하고자 한다. 이를 위해 먼저, 문헌조사 및 전문가 Delphi를 거쳐 처리과정을 범주화를 하였는데, 인공지능서비스 제공과정을 서비스기획·데이터 설계 및 수집과정, 데이터 전처리 및 정제과정, 알고리즘 개발 및 활용과정으로 구분하고, 3개 과정을 9단계의 개인정보처리단계로 다시 세분화하여 개인정보 침해요인을 구성하였다. 둘째, 조사한 개인정보 침해요인을 전문가 대상의 FGI, Delphi 등을 통해 선정하였다. 셋째, 각 개인정보 침해요인에 대한 심각도 및 발생가능성에 대해 전문가대상으로 설문조사하였으며, 94명의 응답결과에 대해 타당성 및 적정성을 검증하였다. 넷째, 인공지능 서비스에서의 개인정보 침해요인에 대한 적절한 위기관리 컴플라이언스를 제시하기 위해, 개인정보의 자산가치, 개인정보 침해요인, 개인정보침해사고 발생가능성을 활용하여 개인정보 침해위험도 산정방식을 마련하였으며, 이를 통해 점수등급에 따라 위험정도에 따른 개인정보 침해사고 대응방안을 제시하였다.

• 자동차안전학회지
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• 제10권3호
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• pp.20-26
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• 2018

It was a pilot study for developing an algorithm to determine the presence or absence of cervical spine injury by analyzing the severity factor of the patients in motor vehicle occupant accidents. From August 2012 to October 2016, we used the KIDAS database, called as Korean In-Depth Accident Study database, collected from three regional emergency centers. We analyzed the general characteristics with several factors. Moreover, cervical spine injury patients were divided into two groups: Group 1 for from Quebec Task Force (hereinafter 'QTF') grade 0 to 1, and group 2 for from QTF grade 2 to 4. The score was assigned according to the distribution ratio of cervical spine injured patients compared to the total injured patients, and the cut-off value was derived from the total score by summation of the assigned score of each factors. 987 patients (53.0%) had no cervical spine injuries and 874 patients (47.0%) had cervical spine injuries. QTF grade 2 was found in 171 patients (9.2%) with musculoskeletal pain, QTF grade 3 was found in 38 patients (2.0%) with spinal cord injuries, and QTF grade 4 was found in 119 patients (6.4%) with dislocation or fracture, respectively. We selected the statistically significant factors, which could be affected the cervical spine injury, like the collision direction, the seating position, the deformation extent, the vehicle type and the frontal airbag deployment. Total score, summation of the assigned each factors, 10 was presented as a cut-off value to determine the cervical spine injury. In this study, it was meaningful as a pilot study to develop algorithms by selecting limited influence factors and proposing cut-off value to determine cervical spine injury. However, since the number of data samples was too small, additional data collection and influencing factor analysis should be performed to develop a more delicate algorithm.

• 대한교통학회:학술대회논문집
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• 대한교통학회 1996년도 제29회 학술발표회
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• pp.59-86
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• 1996

Current methods for evaluating unsignalized intersections, and estimating level-of-service (LOS) is determined from efficiency-based criteria such as little or no delay to very long delays. At present, similar procedures to evaluate intersections using safety-based criteria do not exist. The improvement of sight distances at intersections is the most effective way of improving intersection safety. However, a set of procedures is necessary to account for the limitations in current methodology. Such an approach would build upon such methods, but also account for: deficiencies in the current deterministic solution for the determination of intersection sight distances; opportunity for an accident and severity of an accident; and cost-effectiveness of attaining various levels of sight distances. In this research, a model that estimates the degree of safety at two-way stop-controlled intersections is described. Only crossing maneuvers are considered in this study because accidents caused by the crossing maneuvers are the dominate type among intersection accidents. Monte Carlo methods are used to estimate the hazard at an intersection as a function of roadway features and traffic conditions. Driver`s minimum gap acceptance in the crossing vehicles and headway distribution on the major road are used in the crossing vehicles and headway distribution on the major road are used in the model to simulate the real intersectional maneuvers. Other random variables addressed in the model are: traffic speeds; preception-reaction times of both drivers in the crossing vehicles and drivers in oncoming vehicles on the major road; and vehicles on the major roads. The developed model produces the total number of conflicts per year per vehicle and total potential kinetic energy per year per vehicle dissipated during conflicts as measurements of safety at intersections. Based on the results from the developed simulation model, desirable sight distances for various speeds were determined as 350 feet, 450 feet and 550 feet for 40 mph, 50 mph and 60 mph prevailing speed on the major road, respectively. These values are seven to eight percent less than those values recommended by AASHTO. A safety based level-of-service (LOS) is also developed using the results of the simulation model. When the total number of conflicts per vehicle is less than 0.05 at an intersection, the LOS of the intersection is `A' and when the total number of conflicts per vehicle is larger than 0.25 at an intersection, the LOS is `F'. Similarly, when the total hazard per vehicle is less than 350, 000 1b-ft2/sec2, the LOS is `F'. Once evaluation of the current safety at the intersection is complete, a sensitivity analysis can be done by changing one or more input parameters. This will estimate the benefit in terms of time and budget of hazard reduction based upon improving geometric and traffic characteristics at the intersection. This method will also enable traffic engineers in local governments to generate a priority list of intersection improvement projects.

• 한국안전학회지
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• 제21권4호
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• pp.127-133
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• 2006

이 논문의 주요 목적은 안전 분위기를 확인하여 공장과 근로자의 안전문화 수준에 영향을 주는 변수들을 찾아내고 더 나아가 화학공장의 안전문화를 향상시킬 수 있는 영향요소를 찾는데 있다. 이 논문에 사용된 질문표는 영국의 HSE(Health and Safety Executive) 의 질문표를 근간으로 문헌 조사를 통하여 경영자와 근로자로 분류하여 개발하였다. 안전문화 수준을 확인하기 위해 빈도수 분석을 하였으며 공장규모, 사고 발생, 사고 및 상해 경험과 심각성, 그리고 고용기간 등과 같은 영향변수들은 ANOVA(Analysis of Variance) 분석을 적용하여 테스트하였다. 빈도수 분석의 결과 일반적으로 경영자와 근로자 모두가 안전문화의 수준이 높게 나타났으며 주된 문제점들로는 부적당한 안전 보건 절차와 규칙, 생산에 대한 압력, 그리고 규칙위반으로 나타났다. 또한 ANOVA 분석결과에 의하면, '고용기간'은 다른 안전 문화의 수준을 만드는 유일한 변수인 것으로 나타났다. 그리고 안전문화의 조사로부터 공장들의 안전 문화요소에 대한 주요 3가지 문제점과 안전문화수준을 발견하였으며 안전 이행 능력을 향상시킬 수 있는 2가지 영향요소를 제안하였다.

• Archives of Plastic Surgery
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• 제34권3호
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• pp.365-370
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• 2007

Purpose: There are many reports about facial bone fractures, but limited to retrospective data of a single hospital. Etiology and severity of the facial bone fracture have been changed and treatment method and materials have been advanced. In order to reflect those changes and provide up-to-date data of the facial bone fractures in Daegu, we gathered the data and analyzed the epidemiologic study. Methods: The medical records of 1058 fractures in 895 patients were gathered from 5 general hospitals in Daegu during last year and these data were analyzed by following parameters: age, sex, place of residence, occupation, cause of injury, time of injury, location of fracture, length of in-hospital stay, time of operation, treatment method, associated injury, complication. Statistical analysis was performed using the Chi-square test. Results: Most commonly involved age group was 20s(26%) and the sex ratio was 3.4:1(male predominance). Fractures were occurred more in unban and white-color workers. Among variable etiology of injury, traffic accident was the most common cause. Time of injury was heighest at 6 to 7 P.M., on Sunday, in July. Locations of fractures were following sequence: nasal, zygoma, mandible, orbit, maxilla. Mean length of in-hospital stay and time of operation after injury were 6.3 and 3.2 days, respectively. In treatment methods, operative methods were dominant than conservative management and general anesthesia were favored than local anesthesia. Associated injuries were noticed in 188 cases(21.2%) and complications were in 94 cases(8.9%) and among them, ocular problem were common. Conclusion: Compared to previous studies, mean age of occurrence was lowered and the etiologies showed age-specific pattern and reflected the change of lifestyle. In young age groups, sports injury, violence were more dominant and the other hand, traffic accident and fall were dominant in older groups.