• 문화기술의 융합
• /
• 제10권5호
• /
• pp.759-765
• /
• 2024

이 연구는 강, 하천, 호수 등 내수면의 수난사고 중에서도 연령에 따른 감압병 증상발현의 상관관계에 한정하고 설문 대상자 61명에 대해 설문 조사를 실시하였다. 내수면 수난 구조상황에서의 수난구조대원 근무연수와 연령이 감압병증상 발현 정도에 미치는 차이를 분석하였다. 실험 결과는 다음과 같다. 근무연수 중 10년 이상~15년 미만 집단이 감압병 증상발현 정도가 가장 높았고(mean=2.61) 15년 이상이 다음으로 높게 나타났으나(mean=2.42) 통계적으로 유의미한 차이는 나타나지 않았다(F=.813, P>.05). 수난구조대원 연령은 50대 이상에서 감염병 증상발현 정도가 가장 높았고(mean=2.40), 40대 이상이 다음으로 높게 나타 났으나(mean=2.37), 통계적으로 유의미한 차이는 보이지 않았다(F=.813, P>.05). 이는 조사법상 설문으로 할 때 단점인 설문 문항의 주관적 해석에서 문항을 이해하는 정도와 감압병을 경험할 당시 증상의 표현 차이가 영향을 주었을 것으로 판단된다.

• 한국안전학회지
• /
• 제35권1호
• /
• pp.70-78
• /
• 2020

Nitrox diving was introduced by the NOAA (National Oceanic and Atmospheric Administration) to increase the oxygen content and lower the nitrogen content in respiratory gases. The commercial diving sector specializing in underwater operations has recently introduced regulations on the use of Nitrox. Because the respiratory gas for Nitrox diving has a lower nitrogen content than the normal air, the amount of nitrogen dissolved in the body is small, which not only significantly reduces the decompression time compared to air diving, but also reduces the chance of exposure to decompression sickness. In this study, we applied the VPM (Varying Permeability Model) algorithm to virtual diving with air and Nitrox as a respiratory gas, respectively, to study the optimal Nitrox diving for the safety at the underwater works. The results showed that Nitrox diving had a longer NDL (No-Decompression Limit), a much shorter depression time. In other words, Nitrox diving in underwater works is safer from decompression sickness than commonly used air diving.

• Journal of Preventive Medicine and Public Health
• /
• 제17권1호
• /
• pp.211-215
• /
• 1984

Forty one male workers employed in an underwater construction field were surveyed in the viewpoints of epidemiological analysis of decompression sickness (caisson's disease). Nineteen out of the entire forty one workers have been, or had been suffering from decompression sickness (as 46.3% of incidence rate) after decompression. The results obtained were as follows: 1. There was a significant relation between duration of work and incidence of disease. 2. Type II (severe type) comprised majority of cases (16 cases, 84.2%) despite any significant correlations were not present between severity types and recompression times. 3. Most frequently cited symptoms were lower limb pain (89.5%), upper limb pain (79.0%), pruritus (68.4%) and so on, however, 10% of patients complained of neurological symptoms. 4. There were not any significant correlations between disease incidence and worker's age or relative body weight.

• 대한물리치료과학회지
• /
• 제9권1호
• /
• pp.159-166
• /
• 2002

The purpose of this study was to review the knowledge related to historic background, causes, symptoms, etiology and rehabilitation methods related to this disease and suggest some ways to reduce complications from it. The importance of underwater pressure disease was not emphasized, therefore, there is a need for continuous research on treatment methods and prevention for it. As one goes into the deeper water, they will be affected by the hydraulic pressure rather then the atmospheric pressure, and it will be increased 1mmHg by 10meters. Underwater pressure disease can be occurred when one comes out of deeper water too quicked. This results the imbalance of the composition rate of nitrogen in blood. However, there is not enough facilities to treat this disease and these facilities are located in limited areas. Therefore, there is an urgent need to set up a medial center that is specialized in prevention and treatment of underwater pressure disease.

• 수산해양기술연구
• /
• 제51권1호
• /
• pp.136-145
• /
• 2015

A large number of divers that are engaged in a diving apparatus fishery (DAF) have been experienced a decompression sickness. This study has two purposes. One is measurement of the diving patterns and respiration rate. The other one is to research the institutional improvement plan of the DAF. In the experiments, the diving depth, the diving time, the total ascent time and the ascent rate were about 12.4 m, 22 min, 28 s and 28.1 m/min, respectively, in Tongyeong. In the case of Geoje the diving depth, the diving time, the total ascent time and the ascent rate were about 20 m, 64 min, 17 min and 1.3 m/min, respectively. In a questionnaire survey, the diving depth was 20~29 m (56.4%) in Tongyeong and Geoje, the diving time was 50~59 min (42.9%) in Tongyeong and 70~79 min (35%) in Geoje and all of the divers experienced decompression sickness. In the investigation related to a institutional issue, both of the diving apparatus fisheries had adopted the share system. And the laws and the system for the safety of the divers were not enough in Korea. This study suggests that the license and the diving time for diver of the DAF are needed and diver protection for decompression sickness is needed in the law. And the wage payments should change from full sharing to partial sharing included a regular pay to enhance the safety of the divers.

• 한국산학기술학회논문지
• /
• 제21권7호
• /
• pp.176-183
• /
• 2020

구조함은 수색 및 구조작업을 위하여 크게 세 가지 형태의 잠수체계(Diver Stage Diving, Wet Bell Diving 및 Scuba Diving)를 보유하고 있다. 어떠한 잠수체계를 활용하더라도 잠수요원이 잠수작업 완료 후 상승 시에는 잠수병 예방을 위하여 잠수작업수심 및 잠수 총 시간에 해당하는 감압표에 따라 감압절차를 준수하여야 한다. 감압절차는 크게 수중감압방법과 수중 및 함상감압을 병행하여 수행하는 방법으로 나뉘게 된다. 특히 수중 및 함상감압을 함께 수행하는 방법의 경우 U.S Navy Diving Manual에 따라 수중감압에서 함상감압으로 넘어가는 단계인 Surface Interval이 5분을 초과하지 않아야 한다. 하지만 실선 테스트결과 Wet Bell Diving에서 Surface Interval이 5분을 초과하는 문제점이 발생하였다. 이에 본 논문에서는 모든 가능한 원인을 식별하여 원인분석을 실시하고, 이를 바탕으로 개선된 Wet Bell Diving의 측정결과를 나타내었다. 그 결과 개선된 잠수체계의 실선 테스트에서 Surface Interval이 5분 이내 만족함을 확인하였다. 본 논문의 연구결과는 향후 잠수체계의 운용 및 개선에 유용한 자료로 활용될 것으로 판단된다.

• 해양환경안전학회지
• /
• 제21권6호
• /
• pp.790-797
• /
• 2015

본 연구는 나이트록스 잠수와 공기 잠수를 비교하여 잠수작업에서의 안전성 및 경제성 평가를 시도하였다. 연구를 위해서 2010년 거가대교 침매터널 건설시 사용되었던 실제 잠수자료를 사용하였으며, 감압병 발생율, 작업시간, 감압시간 등 두 기체 다이빙의 특징을 분석하였다. 그 결과 잠수사가 호흡기체로 나이트록스를 사용하고 감압기체로 100% 산소를 사용한다면 감압병 발생확률을 최소화 할 수 있으며 감압기간 또한 크게 단축할 수 있음을 확인하였다. 그리고 실제 나이트록스를 사용한 공사기간과 공기 잠수를 하였을 경우의 가상의 공사기간을 비교해 본 결과 최대 3배의 공사기간 단축 효과를 가져왔음을 확인하였다. 결론적으로 시간적, 육체적으로 제한되어있는 환경에서 잠수 시 나이트록스 잠수가 공기 잠수보다 능률적이고 경제적임을 확인하였다.

• 농촌의학ㆍ지역보건
• /
• 제35권1호
• /
• pp.21-35
• /
• 2010

There are many work-related injuries and diseases of fisheries in Korea. Fishermen have exposed to harmful environment, such as natural disasters, ultraviolet, noise, vibration, organic solvents, ergonomic risk factors, loss of fresh water and food, and psychologic stress. They have suffered from numerous work-related health problems, including musculoskeletal disorders, cardiovascular diseases, infectious diseases, pyschological diseases, decompression sickness, and so on. Sea accidents can cause deaths of fishermen and if sea pollution is occurred, fishermen have a great economic damage. However, the concern of these injuries and diseases has been little because they are small in number and have decreased. Fisheries are important core industries, so the problems of fisheries have to be solved by a government. But work-related injuries and diseases are not investigated properly and accurate diagnoses are not made due to loss of concern. We hope that this article will be a cornerstone to solving the work-related problems of fisheries.

• Journal of Yeungnam Medical Science
• /
• 제19권2호
• /
• pp.92-98
• /
• 2002

Emergency medicine(EM) is the specialty of evaluating, stabilizing and initiating treatment for patients with life or limb-threatening illnesses or injuries. Techniques unique to the specialty of EM are the triage systems, quick stabilization methods, and emergency surgery procedures. The field of EM encompasses areas such as emergency department management, disaster planning and management, the management of emergency medical service(EMS) systems, research into such areas as brain and heart resuscitation, trauma and disaster management, survival medicine, and environmental emergencies(cold and heat injuries, poisioning, decompression sickness and barotrauma). Today, in addition to providing emergency care, the emergency specialists have moral and legal obligations to assess and report probable cases of child and spouse abuse, sexual assault, and alcohol and drug abuse. Future, the EM should provide surveillance, identification, intervention, and evaluation of injury and disease, therefore EM will remain as a key component of evolving community health care system.

• Journal of the Korean Association of Oral and Maxillofacial Surgeons
• /
• 제27권5호
• /
• pp.447-452
• /
• 2001

Hyperbaric oxygen therapy(HBO) is defined as breathing 100% oxygen while in an enclosed system pressurized to greater than on atmosphere(sea level). This increased oxygen delivery furthers your body's ability to kill germs and to increase healing. HBO is a supplemental therapy to be used in addition to the current medical and surgical therapy you are receiving. HBO typically is used to complement treatments of medical problems such as bone infections, complication of radiotherapy, and certain chronic, non-healing wounds. On an emergency basis, the chamber also is used to treat problems such as carbon monoxide poisoning and the decompression sickness. We analysed stastically cases which are treated by hyperbaric oxygen therapy in point of oral and maxillofacial region on the Kangnam General Hospital for aid in comprehension and application of this therapy. Total 760 patients were treated at Gangnam General Hospital from July 1996 to September 1999. They were classified by region to Decompression sickness(DCS), Carbon monoxide poisoning(CO), General surgery(GS), Orthopedics(OS), Oral and Maxillofacial surgery(OMFS), others. Patients of Oral and Maxillofacial surgery were divided by diseses to Osteomyelitis, Osteoradionecrosis, Reconstruction, Bone graft, Difficult wounds, others. The results were as follows. 1. This institute conducts HBO therapy for DCS which takes up 62% and 10.5% for OMF region. 2. In OMF region, Osteomyelitis is 40%, Osteoradionecrosis is next, Bone graft, and Reconstruction is a row. 3. According to our precious study, HBO has been frequently conducted in OMF region compared to past, however, it is less actively conducted in this area for research than other conturies. Therefore, We need further application to the clinical use.