• Title/Summary/Keyword: Cases of the Accident

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Traumatic Diaphragmatic Hernia: A Report of 3 Cases (외상성 횡격막 헤르니아: 3례 수술 보고)

  • 유세영
    • Journal of Chest Surgery
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    • v.2 no.1
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    • pp.59-64
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    • 1969
  • Three cases of traumatic diaphragmatic hernia were repaired in this department from June 1967 to Nov.1968. The first case, a 14 year old girl, was diagnosed as diaphragmatic hernia during the operation of the diffuse peritonitis from jejunaI perforation 3 days after the traffic accident at local clinic and she was transfered to this hospital after the closure of the perforated jejunum. Herniated stomach, transverse colon, spleen and left lobe of the liver were repositioned and the diaphragmatic rupture at the posterolateral portion of the left diaphragm was repaired with two layer sutures by transthoracic approach. The second case. a 26 year old man. was diagnosed immediately after the traffic accident at local clinic and transfered to this hospital 24 hours later. Herniated and distended stomach, transverse colon and jejunum were repositioned and the large diaphragmatic rupture, about 9 cm in length, from the posterolateral portion to the base of the pericardium was directly repaired with two layer sutures. The third case, a 26 year old man, who had a history of stab wound at left lower lateral chest two years ago,was admitted with the sudden onset of abdominal pain and vomiting. The diaphragmatic hernia was confirmed with barium enema. The herniated stomach and transverse colon through the defect, about 3.5 cm in diameter, at anterolateral portion of the left diaphragm, were repositioned and the defect was repaired with two layer sutures. All of the cases recovered uneventfully.

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Traumatic Diaphragmatic Injuries (외상성 횡격막 손상)

  • 오창근
    • Journal of Chest Surgery
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    • v.24 no.6
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    • pp.579-584
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    • 1991
  • The records of 25 patients with traumatic diaphragmatic injuries seen at Chosun University Hospital from February 1977 to May 1991 were reviewed. We treated 20 male and 5 female patients ranging in age from 6 to 72 years. The diaphragmatic injuries were due to blunt trauma in 19 cases[traffic accident 13, fall down 4, compression injury 2] and penetrating trauma in 6 cases[stab wound 5, gun shot 1]. Most common symptoms were dyspnea[72%], chest pain[56%] and abdominal pain [40%], Chest X-ray were normal in 7 cases[28%] and 22 cases[88%] were diagnosed or suspected as diaphragmatic injuries preoperatively. The repair of 25 cases were performed with thoracic approach in 16 cases, thoracoabdominal approach in 6 cases and abdominal approach in 3 cases. Postoperative complications included atelectasis, wound infection and empyema. there was no postoperative death.

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Reconstruction Analysis of Vehicle-pedestrian Collision Accidents: Calculations and Uncertainties of Vehicle Speed (차량-보행자 충돌사고 재구성 해석: 차량 속도 계산과 불확실성)

  • Han, In-Hwan
    • Transactions of the Korean Society of Automotive Engineers
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    • v.19 no.5
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    • pp.82-91
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    • 2011
  • In this paper, a planar model for mechanics of a vehicle/pedestrian collision incorporating road gradient is derived to evaluate the pre-collision speed of vehicle. It takes into account a few physical variables and parameters of popular wrap and forward projection collisions, which include horizontal distance traveled between primary and secondary impacts with the vehicle, launch angle, center-of-gravity height at launch, distance from launch to rest, pedestrian-ground drag factor, the pre-collision vehicle speed and road gradient. The model including road gradient is derived analytically for reconstruction of pedestrian collision accidents, and evaluates the vehicle speed from the pedestrian throw distance. The model coefficients have physical interpretations and are determined through direct calculation. This work shows that the road gradient has a significant effect on the evaluation of the vehicle speed and must be considered in accident cases with inclined road. In additions, foreign/domestic empirical cases and multibody dynamic simulation results are used to construct a least-squares fitted model that has the same structure of the analytical one that provides an estimate of the vehicle speed based on the pedestrian throw distance and the band within which the vehicle speed would be expected to be in 95% of cases.

A Study on the Surrender B/L and the Subrogation Claim of Marine Cargo Insurance under International Trade Transaction (국제무역거래상 권리포기 선하증권과 관련된 해상화물보험의 대위청구권에 관한 연구)

  • LEE, Jae-Sung
    • THE INTERNATIONAL COMMERCE & LAW REVIEW
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    • v.65
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    • pp.71-94
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    • 2015
  • The insurer's right to take legal proceedings in the name of the assured against a third party who has caused loss of or damage to the goods is of particular importance in marine cargo insurance under international trade transaction. The amounts recovered in subrogation actions, known in practice simply as recoveries, form a significant element in the balancing of the cargo insurer's underwriting account by improving ing the loss record. However, even if the carrier involved in the accident have a liability for damages, in some cases can not claim damages in accordance with the after clauses and carrier's exemption clauses indemnity carrier under the contract of carriage. In recent, the dispute cases to argue damages claim of the carrier in connection with business practices of surrender B/L, the claim is dismissed cases in accordance with the Arbitration Rules of the after clauses. In the future, the surrender B/L is continually to use as a marine transport method, it may also be interested in insurance subrogation of damages claims to insurance accident by a surrender B/L.

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Study on the Standards for Acknowledgement of Cerebral and Cardiovascular Diseases due to Occupational Cases (업무상 뇌.심혈관질환의 인정기준에 관한 고찰)

  • Choi, Soon-Young;Rim, Hwa-Young
    • Journal of the Korea Safety Management & Science
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    • v.12 no.3
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    • pp.61-72
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    • 2010
  • Judgment of cerebral and cardiovascular diseases arising out of duty follows the legal judgment method for the purpose of investigation of medical causes based on the Industrial Accident Compensation Insurance Act, with the characteristics of the occurrence as personal factors etc. act as risk factors while work-related ones as triggers, in the case of disease due to occupational cases, as whether it arose out of duty must be judged including even the individual's personal risk factors, there are limitations securing fairness even with existing laws, regulations and guidelines. This study was carried out to suggest basic data for the preparation of standardized guidances for diseases arising out of duty by reviewing the standards for the acknowledgment of cerebral and cardiovascular diseases due to occupational cases, and it has a significance in that it suggests target diseases that may be judged as cerebral and cardiovascular diseases, legal criteria for the acknowledgment and standards for the judgment of cerebral and cardiovascular diseases arising out of duty.

Two cases of concussion after whiplash injury (편타성 손상후 발생한 뇌진탕증 2례)

  • Han, Eul-Joo;Kim, Bong-Chan;Lee, Myong-Jong
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.14 no.1
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    • pp.87-93
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    • 2001
  • Object : This study was focused on finding out the better method of medical treatment of concussion after whiplash injury. Methods : This study has been carried out for two cases of concussion after whiplash injury which had been hospitalized at the Kangnam Oriental medical Hospital of the Dongguk University Results and conclusions : The concussion is caused by whiplash injury about $47\%. In the symptoms of concussion, there are lightheadedness, dizziness, neck pain, headache, photophobia, phonophobia, anamnesis disorder, concentration disorder, tinnitus, irritability, etc. It is considered more important that the treatment of nausea and vomiting than the removal of stagnation of blood. Oriental medical treatments including of herb-medicine, acupuncture, moxibustion, cupping, chuna, taping have more economic favor and rapid effects than the others. so we report on two cases.

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A Clinical Evaluation of 120 Chest Injuries (흉부외상 120례에 대한 임상적 고찰)

  • 이호완
    • Journal of Chest Surgery
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    • v.7 no.1
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    • pp.13-22
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    • 1974
  • A clinical evaluation was done on 120 cases of chest injury patients treated in the department of Thoracic and Cardiovascular Surgery, Chonnam National University Hospital for the period of 6 years and 3 months from January, 1968 to March, 1974. 1] Of 120 cases, 52 cases[43. 3%] were non-penetrating injuries and 65 cases[56.7%] penetrating injuries. Of them, 107 cases [89.2%] were males and 13 cases[10.8%] were females. 2] The most common etiology was stab wound[64 cases] and traffic accident[23 cases] was the next. 3] In 70% of all cases, treatment was initiated within 6 hours after receiving trauma. 4] The types of lesions in order of frequency were hemothorax[35 cases], chest wall injuries alone. 27 cases], hemopneumothorax [22 cases], pneumothorax[17 cases]. Of them, right sided lesions were 52 cases[43. 3%] and left sided lesions were 65 cases[54.2%] and 3 cases were bilateral lesions. 5] Repeated thoracentesis and closed thoracostomy were the treatment of choice in most cases in order to reestablish early and rapid reexpansion of the lungs. Open thoracotomy was, however, mandatory on 39 cases[32.5%]. 6] The overall mortality was 5.8% [7 cases]; 5 cases of nonpenetrating injuries and 2 cases of penetrating ones.

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Analysis of the Leading Cases of Nurses charged with Involuntary Manslaughter (간호사 업무상과실치사상죄 판례분석)

  • Song, Sung Sook;Kim, Eun Joo
    • Journal of muscle and joint health
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    • v.28 no.1
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    • pp.30-40
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    • 2021
  • Purpose: This study aims to present nurses' legal conflicts and legal basis through the precedent analysis of a crime of professional negligence resulting in death and injury for the past 20 years and provide vital references to cultivate the correct and high-level legal consciousness of nurses. Methods: This study was conducted in five stages of the systematic content analysis method. It amalyses the precedents of a crime of nurses' professional negligence resulting in death and injury from 2000 to 2020. The application system for the provision of the written judgment was used to collect precedents. A total of 67 cases were analyzed in this study, and they were classified according to the type of nursing error, and the contents were systematically analyzed. Results: A total of 52 cases (77.5%) of nursing errors were caused by independent nursing practices. They were classified as 38 cases (A1) in the violation of patient supervision obligations, 12 cases in the violation of progress observation obligations (A2), one case in the violation of medical equipment inspection obligations (A3), and one case in the violation of explanation and verification obligations. Among the non-independent nursing practices (code B), B1 was 10 cases related to administrative acts, one blood transfusion accident (B2), and one anesthesia accident (B3). Conclusion: To prevent nurses from being involved in legal confits, the advocation of systematic training such as nurses' legal obligations and judgment grounds through case-based learning from the recent precedent analysis and promote nurses' legal perspective, and preventive activities are essential.

A Study on Forecasting Risk of Gas Accident using Weather Data (기상 데이터를 활용한 가스사고위험 예보에 관한 연구)

  • Oh, Jeong Seok
    • Journal of the Korean Institute of Gas
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    • v.22 no.5
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    • pp.107-113
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    • 2018
  • While accident data are used to show alertness to accidents or to review similar cases, the analysis of nature of accident data its association with surrounding environment is very insufficient. Therefore, it is very necessary to demonstrate the possibility of an accident for a particular region by developing analysis techniques with the related accident data. The purpose of this study is to develop an analysis model and implement a system that produces regional accident probability based on historical weather information data and accident and reporting data. In other words, the system is designed and developed to create models by k-NN and decision tree algorithms with optional user-environment variables based on the probability between weather and accidents about many particular region of Korea. In the future, the models developed in this study are intended to be used to analyze and calculate the risk of a more narrow area.