• Title/Summary/Keyword: Fall Accident

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Characteristics Analysis of Seasonal Construction Site Fall Accident using Text Mining (텍스트 마이닝을 활용한 계절별 건설현장 추락사고 특징 분석)

  • Kim, Joon-Soo;Kim, Byung-Soo
    • Korean Journal of Construction Engineering and Management
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    • v.20 no.3
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    • pp.113-121
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    • 2019
  • The death rate of industrial accidents per 10,000 people in Korea is two to three times higher than that of major countries. Falling accidents at the construction site happened to have caused the most deaths. Analysis of existing research and measures by national institutions showed that the industrial accident management concentrated on falling accidents was insufficient and the seasonal safety management measures were not enough. There is thus the need for research that provides detailed and enough information on falling accidents. This study, therefore, aims to overcome the limitations of existing research and safety management accident response using a methodology that provides the necessary information for the prevention of fall accidents by deriving seasonal crash characteristics of the construction site. In order to provide enough information, 387 cases of seasonal construction site falling were collected, which describes the causal relationship of accidents. Text mining using principal component analysis and cluster analysis was carried out. The analysis showed that: In the spring, snowfall and unreasonable operation of equipment including lifts were the major cause. In summer, most accidents were caused by form, insufficient safety inspection, and installation work. In autumn, weather factors such as wind and typhoon were the cause. In winter, material transportation, exterior wall work, and ignore safety precautions were the cause of the crash.

Evaluation of Overturning Stability for Preventing Safety Accidents Caused by Ladder Work in Landscape Construction and Management - For the Tripod Support Portable Ladders Used in Korea - (조경시공·관리에서 사다리 안전사고 예방을 위한 전도 안정성 평가 - 국내에서 사용되고 있는 삼각지지형 이동식 사다리를 대상으로 -)

  • Kim, Eun-Il;Kwon, Yoon-Ku;Lee, Gi-Yeol
    • Journal of the Korean Institute of Landscape Architecture
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    • v.51 no.5
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    • pp.1-12
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    • 2023
  • This study evaluated the overturning stability of portable tripod ladders used for high-altitude work such as tree management and pruning work in landscaping construction and management. Portable tripod ladders, which are included in general mobile or portable ladders frequently used in industrial sites, are supported in a triangular support structure, not a 4-point support like common A-type Ladders. In addition, since the working height is more than twice that of a mobile or portable ladder, the possibility of an overturning accident that threatens the safety of workers with a fall accident is high. Therefore, based on the overturning stability test specified in ANSI-ASC A14.7 and EN 131-Part 7, which are related standards for about 130 types of portable tripod ladders sold and used in Korea. An equation to calculate each moment according to working height was derived. Then, each calculated moment was compared to evaluate the safety factor for overturning and stability. As a result of the overturning stability evaluation according to each standard, when the provisions of EN 131-Part 7 were applied, portable tripod ladders with 8 steps in the rear direction and 6 steps or more in the side direction were evaluated as unstable against overturning, but according to ANSI-ASC A14.7 regulations. It was evaluated that the stability against overturning was secured in all directions and number of steps.

Evaluation of a Fall Risk Assessment Tool to Establish Continuous Quality Improvement Process for Inpatients' Falls (낙상예방 활동의 지속적 질 관리 프로세스 확립을 위한 위험 사정도구 평가)

  • Park, Ihn-Sook;Cho, In-Sook;Kim, Eun-Man;Kim, Min-Kyung
    • Journal of Korean Academy of Nursing Administration
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    • v.17 no.4
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    • pp.484-492
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    • 2011
  • Purpose: The aims of study were; (1) to evaluate the validity and sensitivity of a fall-risk assessment tool, and (2) to establish continuous quality improvement (CQI) methods to monitor the effective use of the risk assessment tool. Methods: A retrospective case-control cohort design was used. Analysis was conducted for 90 admissions as cases and 3,716 as controls during the 2006 and 2007 calendar years was conducted. Fallers were identified from the hospital’s Accident Reporting System, and non-fallers were selected by randomized selection. Accuracy estimates, sensitivity analysis and logistic regression were used. Results: At the lower cutoff score of one, sensitivity, specificity, and positive and negative predictive values were 82.2%, 19.3%, 0.03%, and 96.9%, respectively. The area under the ROC was 0.60 implying poor prediction. Logistic regression analysis showed that five out of nine constitutional items; age, history of falls, gait problems, and confusion were significantly associated with falls. Based on these results, we suggested a tailored falls CQI process with specific indexes. Conclusion: The fall-risk assessment tool was found to need considerable reviews for its validity and usage problems in practice. It is also necessary to develop protocols for use and identify strategies that reflect changes in patient conditions during hospital stay.

The study of anterior cruciate ligament injury after a ski accident (스키에 의한 전방십자인대 손상에 대한 고찰)

  • Park, Ju-Hwan;Jun, Sung-Hwa;Yang, Nan-Hea;Kim, Yong-Kwon;Kim, Chi-Hyuk
    • Journal of Korean Physical Therapy Science
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    • v.10 no.1
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    • pp.222-231
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    • 2003
  • The ACL(Anterior cruciate ligament) is the smallest of the four main ligaments of the knee, but it is the primary stabilizer. Injuries have a tendency to occur when the foot is firmly planted and the knee is twisted. Any sports that requires acceleration, change of direction and deceleration can increase the chances of suffering an ACL tear. The incidence of severe knee sprains that involve the ACL are at an all-time high. Since 1980, the number of these injuries have increased at least three-fold. Although the rate of increase has been much less dramatic since the middle 1980s, even the ultra-modem releasable ski binding has not been able to start reducing the incidence of ACL injuries. An ACL injury prevention program developed for downhill skiers by the Vermont Safety Research group emphasized increasing awareness of situations that can potentially result in an ACL injury and pre-planning strategies if events, leading to these situations, begin to fall in place. As part of the above study by Ettlinger et al., an educational prevent program was developed to teach these principles and thus reduce the rate of serious knee injuries. Four thousand instructors and patrol at 20 ski resorts who received the training had a 62% decline in serious knee injuries compared to a similar group that did not receive this training. Whenever you fall, try not to fully straighten your legs. Don't try to get up until you've stopped sliding(unless you are try to avoid an obstacle or other skier). When you're down, stay down. And don't land on your hand. So, if you feel yourself falling: arms forward, ski plates together, hands over knee. Then you will be able to save your ACL.

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National Survey of Injury and Poisoning on a Representative Sample Population of Koreans (우리나라 대표적(代表的) 표본인구(標本人口)의 연간(年間) 손상(損傷) 및 중독발생율(中毒發生率)과 역학적(疫學的) 특성(特性))

  • Kim, Joung-Soon;Kim, Sung-Soo;Chang, Sung-Chill
    • Journal of Preventive Medicine and Public Health
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    • v.27 no.3 s.47
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    • pp.447-463
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    • 1994
  • Despite the public health importance of injury and poisoning in terms of its high mortality and incidence, epidemiologic information to be utilized are scarce in Korea. This study was carried out in 1990 on a representative sample population (about 55,000 persons) along with the 6th National Tuberculosis Prevalence Survey in order to estimate the magnitude of injury and poisoning occurrence and to identify its epidemiologic characteristics which can be aided for establishing preventive strategy. Pre-tested and structured Questionnaire was used by trained interviewer to collect data including general information of the person, various information on the injury and poisoning during the past one year such as time and place of its occurrence, its nature and external causes, type of medical institute attended, duration of treatment and outcome of the accident occured. In analysis of the data collected incidence rates per 1000 persons by sex, age group and its nature as well as external causes, and relative frequencies were calculated. The result obtained are as followings; 1. The incidence rate per 1000 was 30 for both sexes, 39 for male and 22 for female, male being 1.8 times more frequent than female. Age adjusted incidences were not much different from the crude rates. Age group specific rate curve showed bimodal shape in both sexes, small peaks in preschool children and higher peaks in older ages. The incidence rate per 1000 people by area was highest in Jeon-bug province (57/1000) and the lowest in Daegu city(11/1000). 2. The place where the injuries occured were road in 46%, within the boundary of house in 25%, and working place in 12% The injuries and poisoning had occured more frequently during the months from March to August of the year than other months. 3. The relatively frequent injuries by its nature were contusion with intact skin surface (19%), fracture of upper limb (13%), open wound of head, neck and trunk (12%) and fracture of lower limb (11%) among males; contusion with intact skin surface (28%), sprains and strains of joints and adjacent muscle (14%), fracture of upper limb (10%) and fracture of lower limb (9%) among females. Higher incidence rate among males than females were fracture of skull (4.5 times), open wound and fractures of limbs ($2{\sim}3$ times). Age specific rate of injuries and poisoning by its nature showed increasing pattern by age in fractures of upper and lower limbs and sprains & strains of joints whereas the age group of 30's showed highest incidence in open wounds of upper limb. Fractures of radius and ulna in upper limb, fractures of tibia & fibula and ankle in lower limb were most frequent among fractures of upper and lower limbs. The frequent injuries among sprains and strains of joints and adjacent muscles were that of ankle, foot and back, and among open wound were that of head and fingers. 4. Relative frequency of injuries and poisoning by external causes showed following order : other accidents (25%), accidental falls (23%), motor vehicle accident (22%) and other road vehicle accident (14%) among males and accidental falls (37%), motor vehicle accident (24%) and other accident (18%) among females. The external causes revealing higher incidences among males than females, were other road vehicle accident (4.8 times), vehicle accident not elsewhere classifiable (4.4 times), accidental poisoning (4.4 times), accidents due to natural and environmental factors (2.8 times), and sucide & self-inflicted injuries (2.8 times). Age specific incidence by external causes for frequent injuries showed that incidence of other accident steadily increased from 10's till age 50's; motor vehicle traffic accident increased from age 20's and dropped after age 60's; on the other hand accidental fall increased strikingly by age. The most frequent external causes among motor vehicle traffic accidents was motor vehicle traffic accident involving collision with pedstrain (69%), pedal cycle accident (30%) and other road vehicle accident (71%) among other road vehicle accidents; falls on same level from slipping, tripping or standing (44%) and other falls from one level to another among accidental falls; accidents caused by machinary (32%) for male and striking against or struck accidentally by objects or person for female among other accidents. 5. Seventy nine percent of the injuries and poisonings were treated in general hospital or hospital/clinic. The duration of treatment ranged from a few days to 123 weeks; the majority(52%) took under 2 weeks, 36% for $3{\sim}8$ weeks and 4% over 21 weeks. 6. The accident resulted in full recovery of normal healthy state in 62%, residual functional defects in 21% and on process of treatment in 16%.

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A Study of the Evaluation of the Spinal Cord Injuries (척수 손상 환자에 관한 실태 조사)

  • Kim, Myung-Hoon
    • Journal of Korean Physical Therapy Science
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    • v.3 no.2
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    • pp.1011-1019
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    • 1996
  • The incidence of spinal cord injury increase due to traffic accident, industrial accident and leisure sports. Spinal cord injury damages motor and sensory function below the injury level, also affects autonomic functions associated with voiding and defecation. Sexual dysfunction and psychosocial, vocational maladaptations are also some of the unwanted consequences of injury. The purpose of this study is look for means to prevent and to manage complications in spinal cord injury through investigation and analysis. The subjects of this study in spinal cord injured patients were admitted to the department of physical therapy, Kwangju christian Hospital, Nam Kwang Hospital, Chun Nam university Hospital and Cho Sun university Hospital, from April, 1, 1995 to March, 31, 1996. The results are as follows: 1. The subjects comprised 96 cases of spinal cord injury, ranging from 17 to 85(mean-40.8 yrs) and included 72 males and 24 females. Among these patients, 58 were cervical injury, 20 were thoracic injury and 18 were lumbar injury. 2. As for a major causative of spinal cord injury were traffic accident(59.4%), fall down (27.1 %), and motocycle(4.2%).. 3. The bladder control were taken by indwelling cathetar(41.7%), Crede maneuver(37.5%) and self voiding(16.7%). The bowel control were taken by all aid(61.5%), assitance(32.3%) and self defecation(6.2%). 4. Possible of sexual function were 35 cases (47.9%). 5. The device of transfer used wheel chair(69.8%) and bed(16.7%). 6. The patients with higher cord lesion got more serious pain than lower cord lesion. Also the patients with higher cord lesion got a serious spasticity. 7. The incidence of decubitus ulcer among 96 patients were in case 46(47.9%). The largest group of the pressure sore sites were sacral portion(82.0%), less than 1 month of onset occured a large numbers(50%). Incidence of pressure sore by spasticity occured many patients in case of mild or moderate. Incidence of pressure sore by pain occured many patients in case of severe pain.

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Cardiac Rupture after Blunt Chest Trauma (흉부 둔상에 의한 심장파열)

  • 김태이;정태은;이동협;이정철;한승세
    • Journal of Chest Surgery
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    • v.31 no.3
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    • pp.255-261
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    • 1998
  • A clinical evaluation was performed on 11 cases of the cardiac rupture by blunt chest trauma at the department of thoracic and cardiovascular surgery, Yeungnam University Hospital during the period from July, 1993 to May, 1995. The results were as follows ; The sex distribution was 8 mem and one women, and mean age was 41 years old. The causes of accident was traffic accident in most cases. And then one case was cultivator accident and another one was fall down. The average times from trauma to admission was 139 minutes and the patients that transferred via other hospitals have relatively long average times to 227 minutes. The average times from admission to operation was 117 minutes and we consumed 25 minutes for the preoperative preparation. The sites of injury were 7 cases in the right heart and 3 cases in the left heart. There were symptoms and signs of the cardiac tamponade(dyspnea, chest pain, nausea/vomitus, neck vein distention & hypovolemic shock) at admission and in most of them typical symptoms and signs of a tamponade appeared. Surgical approach was performed with median sternotomy in 10 cases. Subxiphoid pericardial window was created in one case. Another case which was very difficult in surgical procedure was operated under cardiopulmonary bypass and the result was good.

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Farmer's Syndrome and The Accidents Due to Agricultural Machines of Some Rural Residents (일부 농촌주민의 농부증 및 농기계사고)

  • Kim, Byung-Sung;Chon, Hae-Jung;Cah, In-Jun
    • Journal of agricultural medicine and community health
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    • v.18 no.1
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    • pp.93-102
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    • 1993
  • The symptoms of farmer's syndrome that occurred to Korean farmers are due to the specific characteristics of Korean agriculture, and the basic reasons are poverty and less-privileged rural cultural life originated from social and political conditions. Then the purposes of this study are to investigate farmer's syndrome of farmers and to get substantial data to make a strategy that could prevent diseases. The results are as follows: 1. The most common symptom was lumbago(83.0%) among the 7 kinds of symptoms of farmer's syndrome. And it was more common among women who deliver babies and also work house chores and 10 farms than men(p<0.05). 2. The numbers of symptoms of farmer's syndrome increased as age increases and, 71.4% of those aged 70-79 complained some of the symptoms. 3. The accident rate due to agricultural machine was significantly higher in men than women(p<0.05). By frequency contusion was the most common trauma, fall, fracture were the nexts, and the age group with highest accident rate(40%) was those aged 20-29. 4. To see the significantly correlated factors between faemer's syndrome and sociodemo graphic variables, the more the numbers of family members were, the more lumbago and the less heartburn occurred. And the less gross income was the more frequent nocturnal urinary frequency occurred, and the wider the farming land was the more frequent noctural urinary frequency occurred. 5. As result of correlation coefficient between the numbers of illnesses and sociodemographic variables, the larger the family was and the larger the farming land was the more illnesses the subjects had, and those without spouses had more illnesses.

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A CLINICAL STUDY OF THE APPEARANCE AND DEGREE OF THE FACIAL INJURIES (구강악안면 외상환자의 조직손상의 양상 및 정도에 관한 임상적 연구)

  • Soh, Byoung-Soo;Ahn, Tai-Seob;Yun, Cheol-Hee;Jin, Woo-Jeong;Yun, Hyo-Keun
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.17 no.3
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    • pp.264-276
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    • 1995
  • This is a clinical and retrospective study on the patients with oral and maxillofacial trauma. This study was based on a series of 917 patients were treated as in-patients, at Chon-buk National University Hospital, during the period of Jan., 1989 through Dec., 1993. The results obtained were as follows : 1. The ratio of men to women were 3.59 : 1 in oral and maxillofacial injuries, 3.92 : 1 in facial bone fractures, and 3.18 : 1 in soft tissue injuries. 2. The oral and maxillofacial injuries occurred most frequently in the third decade(32.2%), and fourth, second, fifth decade in orders. 3. The major etiologic factors were traffic accident(57.4%) and fall-down(17.1%), interpersonal accident(16.6%), and industrial accident were next in order of frequency. 4. The incidence of facial bone fracture was 72.1%, soft tissue injury 58.8%, and dental injury 40.5%. 5. The most common site of fracture were mandible(62.9%) and maxilla(19.9%), zygoma and zygomatic arch(18.7%), and nasal bone(4.7%) were next in order of frequency. 6. The most common type of soft tissue injury was laceration(51.0%). The lesion of soft tissue injuries were mostly 1 or 2 lesions and deep.

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Forecasting of Real Time Traffic Situation using Neural Network and Sensor Database Management System (신경망과데이터베이스 관리시스템을 이용한 실시간 교통상황 예보)

  • Jin, Hyun-Soo
    • Proceedings of the KAIS Fall Conference
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    • 2008.05a
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    • pp.248-250
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    • 2008
  • This paper proposes a prediction method to prevent traffic accident and reduce to vehicle waiting time using neural network. Computer simulation results proved reducing average vehicle waiting time which proposed coordinating green time better than electro-sensitive traffic light system dose not consider coordinating green time. Moreover, we present neural network approach for traffic accident prediction with unnormalized (actual or original collected) data. This approach is not consider the maximum value of data and possible use the network without normalizing but the predictive accuracy is better. Also, the unnormalized method shows better predictive accuracy than the normalized method given by maximum value. Therefore, we can make the best use of this model in software reliability prediction using unnormalized data. Computer simulation results proved reducing traffic accident waiting time which proposed neural network better than conventional system dosen't consider neural network.

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