• Title/Summary/Keyword: Accident Severity

Search Result 319, Processing Time 0.029 seconds

Medical Characteristics of the Elderly Pedestrian Inpatient in Traffic Accident (노인 보행자 운수사고 입원환자의 의료적 특성연구)

  • Park, Hye-Seon;Kim, Sang-Mi
    • Journal of Digital Convergence
    • /
    • v.17 no.12
    • /
    • pp.345-352
    • /
    • 2019
  • This study aims to analyze the factors affecting the length of stay in elderly pediatric inpatients in traffic accidents. We used Korean National Hospital Discharge In-depth Injury data on the discharged from 2012 to 2016. Statistically significant factors affecting the length of stay are admission route, Charlson Comorbidity Index(CCI), injury parts, operation, results, hospital area, and beds for hospitals. The length of stay was shorter in the case of the admission route of the outpatient department than the emergency room, the results were not improved or death rather than improved, and the bed size was 500-999 beds or over 1000 beds rather than 100-299 beds. However, the length of stay was longer in the case of CCI score was 1-2 or over 3 rather than 0, injury parts were other parts rather than head/neck, when the operation was yes, and when the hospital area was a province, metropolitan rather than Seoul. This study intends to understand the medical characteristics of inpatient to prevent pedestrian traffic accidents in accordance with the population aging. Based on this finding, we wish to be used as the basic data for the establishment of policies to effectively manage traffic safety and medical resources in consideration of the characteristics of the elderly people.

The Analysis of Bus Traffic Accident to Support Safe Driving for Bus Drivers (버스운전자 안전운행지원을 위한 교통사고 분석 연구)

  • BHIN, Miyoung;SON, Seulki
    • The Journal of The Korea Institute of Intelligent Transport Systems
    • /
    • v.18 no.1
    • /
    • pp.14-26
    • /
    • 2019
  • For bus drivers' safe driving, a policy that analyzes the causes of the drivers' traffic accidents and then assists their safe driving is required. Therefore, the Ministry of Land, Infrastructure and Transport set up its plan to gradually expand the equipping of commercial vehicles with FCWS (Forward Collision Warning System) and LDWS(Lane Departure Warning System), from the driver-supporting ADAS(Advanced Driver Assistance Systems). However, there is not much basic research on the analysis of bus drivers' traffic accidents in Korea. As such, the time is appropriate to research what is the most necessary ADAS for bus drivers going forward to prevent bus accidents. The purpose of this research is to analyze how serious the accidents were in the different bus routes and whether the accidents were repetitive, and to give recommendations on how to support ADAS for buses, as an improvement. A model of ordered logit was used to analyze how serious the accidents were and as a result, vehicle to pedestrian accidents which directly affected individuals were statistically significant in all of the models, and violations of regulations, such as speeding, traffic signal violation and violation of safeguards for passengers, were indicated in common in several models. Therefore, the pedestrian-sensor system and automatic emergency control device for pedestrian should be installed to reduce bus accidents directly affecting persons in the future, and education for drivers and ADAS are to be offered to reduce the violations of regulations.

Acute Insomnia in Post-Traffic Accident Patients Treated with M&L Psychotherapy Combined with Traditional Korean Medicine: Three Case Reports (교통사고 후 발생한 급성 수면장애 환자에 대한 M&L 심리치료와 한방 복합치료 치험 3례)

  • KANGMOO GOO;Ji-Won Park;Jeong-Hyo Ji;Na-young Kim;Dong-Hwan Lee;Hyo-Rim Kim;Yu-Ra Im;Ja-Yean Son;Seok Gyu Yang
    • Journal of Oriental Neuropsychiatry
    • /
    • v.35 no.2
    • /
    • pp.205-216
    • /
    • 2024
  • Objectives: To evaluate the effectiveness of Mindfulness & Loving Beingness (M&L) psychotherapy combined with traditional Korean medicine in treating acute sleep disorders in patients hospitalized following traffic accidents. Methods: We applied traditional Korean medicine treatments in conjunction with various mindfulness meditation techniques from M&L therapy, including Resource Mindfulness and Nourishment Brief Therapy. This study was conducted on three patients who reported acute sleep disorder symptoms on the first day of hospitalization following a traffic accident. The effectiveness of these interventions was assessed using the PTSD Checklist for DSM-5 (PCL-5-K), Insomnia Severity Index (ISI), EuroQol 5-Dimension (EQ-5D), Numerical Rating Scale (NRS), and Patient Global Impression of Change (PGIC). Results: ISI and PCL-5-K scores showed significant improvements after treatment, indicating reduced sleep disturbances and stress symptoms. Additionally, EQ-5D and PGIC scores were enhanced, reflecting an overall improvement in quality of life. Conclusions: This study suggests that integrating M&L therapy with traditional Korean medicine could significantly improve symptoms in patients with acute sleep disorders following traffic accidents.

A Framework of Test Scenario Development for Issuance of Conditional Driver's Licenses for Elderly Drivers (고령 운전자 조건부 운전면허 발급을 위한 평가 시나리오 개발 프레임워크)

  • Sangsu Kim;Younshik Chung
    • The Journal of The Korea Institute of Intelligent Transport Systems
    • /
    • v.23 no.1
    • /
    • pp.134-145
    • /
    • 2024
  • The purpose of this study was to propose a framework for developing test scenarios for issuance of conditional driver's licenses. The framework was composed of five stages. Initially, we reviewed the literature on traffic crash characteristics in terms of accident frequency and severity regarding the main factors of crashes caused by older drivers. In the second stage, the characteristics of crashes attributed to non-elderly, early elderly, and late elderly drivers were analyzed using data obtained from the Traffic Accident Analysis System (TAAS), and crash types for elderly drivers were derived. In the third stage, black box videos of high-risk crash types were analyzed to derive crash stories that described the circumstances in which crashes occurred. In the fourth step, crash situations were classified by rating the types of crash stories derived to develop various scenarios. Step 5 involved creating a scenario by applying the PEGASUS 5-Layer format, which has recently been used to develop test scenarios for autonomous vehicles. The results of this study are expected to be used as a basis for developing driving ability evaluation scenarios for the issuance of conditional driver's licenses.

A Development of an Evaluation System for Traffic Calming Schemes (교통정온화사업 평가체계 개발에 관한 연구)

  • Park, Wan-Yong;Won, Jai-Mu
    • KSCE Journal of Civil and Environmental Engineering Research
    • /
    • v.32 no.4D
    • /
    • pp.335-343
    • /
    • 2012
  • In the study, evaluation indicators that should be considered in applying traffic calming schemes were developed, and it was intended to analyze the importance of indicators that should most considered in evaluation traffic calming scheme through AHP analysis on the basis of it. The result of the study is summarized as follows. The result of evaluation indicators may be summarized by dividing into residential area and commercial area. In category, the safety is shown to be more important than other indicators in the analysis when evaluation (residential area is 0.514 and commercial area is 0.439). Importance of evaluation indicators was analyzed in order Average Vehicle Speed, Traffic Accident Severity, and Pedestrian Separation. Residential areas to help keep the safety of pedestrians 'Average Vehicle Speed' as the major indices were derived. In commercial areas were analyzed as an important indicator Pedestrian Separation. Because there are so many pedestrians. When applying the effect of Traffic Calming, residential is greater than the commercial area.

A Study on Evaluation of Safety on Two-Lane Rural Highways (지방부 2차로 안전성 평가에 관한 연구)

  • Ha, Tae-Jun;Lee, Seok
    • Journal of Korean Society of Transportation
    • /
    • v.20 no.1
    • /
    • pp.121-130
    • /
    • 2002
  • Purpose of this paper is proposing technical evaluation method for safety on two-lane rural highways, this method can contribute to an establishment of the safety evaluation criteria and eventually contribute to the highway safety. In this study, accident data and field data(grade, radius, speed factor) are collected and are analyzed. And new technical evaluation method is proposed by problem in review of existent methods and analysis result. Property of new method is verified by comparing with existent one. Following are results of this study. 1) Proposed technical evaluation method is Proposed by using difference of speed variance and difference of acceleration. 2) In range of field survey, proposed method is more proper than existent one by comparing. 3) Headways under 6 second affect speed of next vehicle. 4) A point with the lowest speed in curve is placed about 35m from the beginning point. 5) Correlation of speed variance and severity of highway(EPDO) is statistically significant. For using proposed method, more tests are needed on other locations with various geometries. Moreover, advanced study is needed about classifying and giving the weight of each criterion.

Application of Community Health Nursing Process to an Urban Community (일 도시지역을 대상으로 한 지역사회 간호과정 사례연구)

  • Lee Chung Yul;Kim Eusook;Cho Won Jung;Kwoen Myoung Sook;Lim Eun Sun;Yoo Mi Ae
    • Journal of Korean Public Health Nursing
    • /
    • v.11 no.2
    • /
    • pp.121-130
    • /
    • 1997
  • The community health nursing process is essential in providing community health nursing service to the community. It helps to identify community health problems. to prioritize problems, to provide service. and to evaluate service results. However. it is very rare to find a study which applies the community health nursing process. This study intended to apply the community health nursing process to a urban community. The focus of the study was a community consisting of 533 families in a region of Seoul. The study process was as follows: 1) The data was collected by conducting interviews with community leaders and by collecting surveys from the people of the community. 2) The data was summarized and analyzed. 3) The community nursing diagnosis was identified. 4) The nursing diagnosis was prioritized. 5) The general and specific objectives for service were identified. 6) A specific nursing plan was set up. 7) A detailed evaluation plan was established. Four community nursing diagnoses were identified from the community. 1) The utilization rate of health center was found to be low due to lack of knowledge about the health center and low accessibility. 2) High trafic accident rate due to narrow roads. 3) High prevalence of chronic disease due to inappropriate health behavior. 4) High noise level and foul smell due to inappropriate waste management. Among the four community nursing diagnoses. 'High prevalence of chronic diseases was identified as a priority community nursing problem. The criteria for prioritizing community nursing problems were as follows: number of people involved, fragility of clients. severity of the problem. availability. of resources. concern of the people. readiness of nurses. relevance to the national policy. This study describes the general and specific objectives to solve the high prevalence of chronic health problems. nursing plans. and an evaluation plan.

  • PDF

RADIATION DAMAGE IN THE HUMAN BODY ACUTE RADIATION SYNDROME AND MULTIPLE ORGAN FAILURE

  • AKASHI, MAKOTO;TAMURA, TAIJI;TOMINAGA, TAKAKO;ABE, KENICHI;HACHIYA, MISAO;NAKAYAMA, FUMIAKI
    • Nuclear Engineering and Technology
    • /
    • v.38 no.3
    • /
    • pp.231-238
    • /
    • 2006
  • Whole-body exposure to high-dose radiation causes injury involving multiple organs that depends on their sensitivity to radiation. This acute radiation syndrome (ARS) is caused by a brief exposure of a major part of the body to radiation at a relatively high dose rate. ARS is characterized by an initial prodromal stage, a latent symptom-free period, a critical or manifestation phase that usually takes one of four forms (three forms): hematologic, gastrointestinal, or cardiovascular and neurological (neurovascular), depending upon the exposure dose, and a recovery phase or death. One of the most important factors in treating victims exposed to radiation is the estimation of the exposure dose. When high-dose exposure is considered, initial dose estimation must be performed in order to make strategy decisions for treatment as soon as possible. Dose estimation can be based on onset and severity of prodromal symptoms, decline in absolute lymphocyte count post exposure, and chromosomal analysis of peripheral blood lymphocytes. Moreover, dose assessment on the basis of calculation from reconstruction of the radiation event may be required. Experience of a criticality accident occurring in 1999 at Tokai-mura, Japan, showed that ARS led to multiple organ failure (MOF). This article will review ARS and discuss the possible mechanisms of MOF developing from ARS.

A retrospective clinical investigation for the effectiveness of closed reduction on nasal bone fracture

  • Kang, Byung-Hun;Kang, Hyo-Sun;Han, Jeong Joon;Jung, Seunggon;Park, Hong-Ju;Oh, Hee-Kyun;Kook, Min-Suk
    • Maxillofacial Plastic and Reconstructive Surgery
    • /
    • v.41
    • /
    • pp.53.1-53.6
    • /
    • 2019
  • Background: The nasal bone is the most protruding bony structure of the facial bones. Nasal bone fracture is the most common facial bone fracture. The high rate of incidence of nasal bone fracture emphasizes the need for systematical investigation of epidemiology, surgical techniques, and complications after surgery. The objective of this study is to investigate the current trends in the treatment of nasal bone fractures and the effectiveness of closed reduction depending on the severity of the nasal bone fracture. Patients and methods: A total of 179 patients with a nasal bone fracture from 2009 to 2017 were enrolled. Their clinical examination, patient's records, and radiographic images of nasal bone fractures were evaluated. Results: Patients ranged from children to elderly. There were 156 (87.2%) males and 23 (12.8%) females. Traffic accident (36.9%) was the most common cause of nasal fracture. Orbit fracture (44 patients, 24.6%) was the most common fracture associated with a nasal bone fracture. Complications after surgery included postoperative deformity in 20 (11.2%) patients, nasal obstruction in 11 (6.1%) patients, and olfactory disturbances in 2 (1.1%) patients and patients with more severe nasal bone fractures had higher rates of these complications. Conclusion: Closed reduction could be performed successfully within 2 weeks after injury.

Methodology for Estimating Safety Benefits of Advanced Driver Assistant Systems (첨단 운전자지원시스템의 교통안전 효과추정 방법론)

  • Jeong, Eunbi;Oh, Cheol
    • The Journal of The Korea Institute of Intelligent Transport Systems
    • /
    • v.12 no.3
    • /
    • pp.65-77
    • /
    • 2013
  • Recent advanced sensors and communication technologies have been widely applied to advanced safety vehicle (ASV) for reducing traffic accident and injury severity. To apply the advanced safety vehicle technologies, it is important to quantify the safety benefits, which is a fundamental for justifying application. This study proposed a methodology for quantifying the effectiveness of the advanced driver assistant system (ADAS), and applied the methodology to lane departure warning system (LDWS) and automatic emergency braking system (AEBS) which are typical advanced driver assistant systems. When the proposed methodology is applied to 2008-2010 gyeonggi-province crash data, LDWS would reduce about 10~14% of relevant crashes such as head-on, run-off-the road, rollover and fixed-object collisions on the road. In addition, AEBS could potentially prevent about 50% of total rear-end crashes. The outcomes of this study support decision making for developing not only vehicular technology but also relevant safety policies.