• Title/Summary/Keyword: Fall accidents

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Abdomino-perineal Organ Injuries Caused by Cultivators (경운기 사고에 의해 발생한 복부 및 회음부 장기 손상)

  • Yeo, Kwang Hee;Park, Chan Yong;Kim, Ho Hyun;Park, Soon Chang;Yeom, Seok Ran
    • Journal of Trauma and Injury
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    • v.28 no.2
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    • pp.60-66
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    • 2015
  • Purpose: Cultivator accidents are frequent and often lead to abdomino-perineal organ injury and, if severe, to death. This study presents the clinical characteristics, outcomes, and factors associated with mortality in patients who sustained an abdomino-perineal organ injury in cultivator accidents. Methods: We retrospectively analyzed the records of 53 patients who visited the emergency department of a tertiary hospital with abdomino-perineal organ injuries caused in cultivator accidents from April 2005 to March 2010. Results: All 53 patients had visited other medical institutions before visiting our hospital. Their mean age was $64.0{\pm}11.1$ (range, 20-80) years and 32 (60.4%) patients were 65 or older. The male-to-female ratio was 46:7. The chief complaint was abdominal pain (38 cases, 71.7%). The 53 patients included 41 cultivator operators (77.4%), 11 passengers (20.8%), and 1 passerby (1.9%). The causes of the injuries included a direct impact of the handlebar in 20 cases (37.7%), a rollover in 21 cases (39.6%), a fall in 10 cases (18.9%), and a wheel in two cases (3.8%). Several of the 53 patients had injuries to multiple abdomino-perineal organs, and the injured organs included the liver (23 cases, 26.4%), spleen (16 cases, 18.4%), pancreas (7 cases, 8.0%), small bowel (7 cases, 8.0%), mesentery (6 cases, 6.9%), adrenal gland (5 cases, 5.8%), and other organs. According to the abbreviated injury scale (AIS) dictionary, a thoracic injury was the most frequent co-injury (33 of 53 cases, 62.3%). Abdomino-perineal surgery was performed in 31 cases (58.8%) and angio-embolization was performed for six liver and two kidney injuries. Thirteen patients died (24.5%); all were males. The Injury Severity Scale (ISS) was lower in the survivors ($17.8{\pm}8.5$ vs. $27.0{\pm}16.0$; p=0.010). Conclusion: With the aging of agricultural workers, safety education programs should be implemented. Furthermore, the patient transfer system in agricultural areas must be improved.

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Study on Improving the Facilities of Power-Driven Water Leisure Crafts for the Deaf (청각장애인을 위한 동력수상레저기구 운영 개선방안에 관한 연구)

  • Won-Sam Choi;Bong-Kyu Jung;Cheor-Hong Park;Nam-U Lee
    • Journal of the Korean Society of Marine Environment & Safety
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    • v.29 no.7
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    • pp.836-842
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    • 2023
  • Under the Welfare of Disabled Persons Act, the national qualification test allows disabled and non-disabled people to appear for the same test, and the deaf do not fall under the reason for disqualification from obtaining a license for power-driven water leisure crafts; therefore, even the deaf can obtain a license. During a risk of collision at sea, ships and power-driven water leisure crafts notify the other party of dangerous signals such as maneuvering and warning signals through sound signals to prevent accidents that may occur because surrounding ships are not visible. However, a method is required to prevent marine accidents that may occur when the deaf cannot hear danger signals through sounds from nearby ships or power-driven water leisure crafts during leisure activities owing to hearing impairment. A sound reception system is a device installed on a ship where missionary work is completely deposed to display the amplification of external sounds and the direction of sound reception on the screen. Through visual display of sound signals such as dangerous signals that cannot be heard owing to hearing impairment, improvement measures were proposed to prevent marine accidents that can occur owing to the inability of the deaf to check sound signals during leisure activities.

CLINICAL STUDY OF MIDFACE FRACTURE (안면 중앙부 골절에 관한 임상적 연구)

  • Kim, Su-Gwan;Yeo, Hwan-Ho;Kim, Young-Kyun;Park, In-Soon
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.17 no.2
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    • pp.163-170
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    • 1995
  • The purpose of this study was to investigate the epidemiology of midface fractures. We observed clinically 71 patients with midface fracture who visited the Department of oral and maxillofacial-surgery, Chosun University, Dental Hospital, from 1991 to 1994. The results obtained were as follows. 1. There was the highest age incidence in the third decade(29.6%). 2. There was the highest incidence in the summer(36.6%). 3. The most etiologic factor of midface fracture was traffic accidents(43.6%) and next factor was fall down(38.0%). 4. The highest incidence fracture was zygomatic arch(38.7%) and next fracture was ZMC fracture(31.5%). 5. Most midface fracture was treated within 2 weeks(86.7%). 6. Midface fractures was most frequently combined with mandibular fracture(15.5%), head injuries(14.1%), orthhopedic injuries(8.5), thorax & abdomen(5.6%). 7. The highest complication was the nerve injury(8명), and next complications were infection(3명), epiphora(3명) etc.

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A Study of a Dike Design Considering a Leakage Velocity at an Opening Hole in Case of a Leakage Accident (누출사고 시 저장탱크 위험물 누출속도를 고려한 방유제 설계에 관한 연구)

  • Lee, Jae Yeol;Kim, Dong Hyun;Ban, Soon Hee;Lee, Chang Jun
    • Journal of the Korean Society of Safety
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    • v.32 no.6
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    • pp.40-45
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    • 2017
  • Chemical accidents generated during maintenance, repair, and normal operation, such as dispersion, fire, and explosions, can cause massive losses like a 2012 hydro fluorine leak in Gumi, South Korea. Since this accident, many researches have studied physical mitigation systems. However, due to many difficulties including potential costs and lack time, it is really hard for many companies to install mitigation systems without prior knowledge. Thus, the efficacy of mitigation system should be evaluated. This study assesses a dike design considering the fluid velocity at an open hole when a leakage accident occurs. It is assumed that leakage materials follow a free fall motion. Throughout case studies, a current KOSHA guide for a dike design was evaluated and new guidelines handling various conditions were proposed.

A Study of the Distance between a Tank and a Dike Considering a Leakage Velocity at an Opening Hole in case of a Leakage Accident (누출사고 시 저장탱크 위험물 누출속도를 고려한 탱크와 방유제 사이 간격에 관한 연구)

  • Lee, Jae Yeol;Kim, Dong Hyun;Ban, Soon Hee;Lee, Chang Jun
    • Journal of the Korean Society of Safety
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    • v.33 no.5
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    • pp.35-41
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    • 2018
  • Chemical accidents generated during maintenance, repair, and normal operation, such as dispersion, fire, and explosions, can cause massive losses like a 2012 hydro fluorine leak in Gumi, South Korea. Since this accident, many researches have studied physical mitigation systems. However, due to the lack of potential costs and time, it is really hard for many companies to install mitigation systems without prior knowledge. Thus, the efficacy of mitigation system should be evaluated. This study assesses a dike design considering the fluid velocity at an open hole when a leakage accident occurs. It is assumed that leakage materials follow a free fall motion. Throughout case studies, a current KOSHA guide for a dike design was evaluated and new guidelines handling various conditions were proposed.

Tribological approach for the analysis of the pedestrain slipping accident II

  • Kim, Inju
    • Proceedings of the Korean Operations and Management Science Society Conference
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    • 1996.04a
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    • pp.662-666
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    • 1996
  • The variations of the surface topographical parameters for the analysis of the pedestrian slip and fall accidents during the sliding friction between the specially prepared floor specimens and three working shoes were investigated. The profile ordinate data for each flooring specimen were obtained at 1.1 .mu.m intervals using a laser scanning confocal microscope system along to the direction of sliding. A number of surface roughness parameters, that is, the centre line average (c.l.a.) and root mean square (r.m.s.) roughness, maximum height (Rtm), maximum mean peak height (Rpm), maximum mean depth (Rvm), and average asperity slope were calculated using a computer program and compared with the dynamic friction results. The analysis showed that the surface parameters undergo marked variations during the sliding process, but the variations were statistically significant. It was found that amongst various surface parameters, the maximum depth (Rvm) and the average asperity slope of the asperities were the biggest variation during the sliding proceeding. This result confirms the previous study and may suggests a new approach to monitoring the flooring environments with their service as the effort to reduce the pedestrain slip accident.

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A Study on the Prevention of Fall Accident for on the Roof in Rail road Vehicle (철도차량 옥상 작업시 추락사고 예방에 관한연구)

  • An, Jong-Gon;Won, Bong-Eui;Kim, Dong-Min
    • Proceedings of the KSR Conference
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    • 2007.05a
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    • pp.58-68
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    • 2007
  • Thorough preparations and investigations must be done in order to prevent the hazards which will happen when workers work on the roof of the rolling stocks. Some industrial disasters can be prevented by solving the risks involved in the working of the work processes. Falling accidents tend to happen from the roof of the trains when workers work in the high position. So through the analysis of the 4M( Man. Machine, Media, Management), this paper analyzed the risk factors among the roof works and all problems of the maintenance. Also this paper suggests new devices or new methods to prevent falling disasters and to relieve the mental senses of uneasiness.

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Measuring Inner or Outer Position of Ship Passenger and Detection of Dangerous Situations based LoRa WAN Communication (LoRa WAN 통신 기반의 선박 내/외부 승선자 측위 및 위험상황 감지 시스템)

  • Park, Seok Hyun;Park, Moon Su
    • Journal of Korea Multimedia Society
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    • v.23 no.2
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    • pp.282-292
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    • 2020
  • In order to minimize casualties from marine vessel accidents that occur frequently at home and abroad, it is important to ensure the safety of the passengers aboard the vessel in the event of an accident. There is an EPIRB system as a system for disaster preparedness in the marine situation currently on the market, but there is a problem that the price is very expensive. In order to overcome the cost problem, which is a disadvantage of previous system, LoRaWAN-based communication is used. LoRaWAN communication-based vessel positioning and risk detection system based on LoRaWAN communication transmits measurement data of each module using two Beacon and GPS modules to stably perform position measurement for both indoor and outdoor situations. The rider danger situation detection system can detect the safety status of the rider using the 3-axis acceleration sensor, collect data from the rider positioning system and the rider safety status detection system, and send to server using LoRa communication. When conducting communication experiments in the long-distance maritime situation and actual communication experiments using the implemented system, it was found that the two experiments showed over 90% communication success rate on average.

Spontaneous Normal Splenic Rupture: A Case Report (젊은 남자 환자에서 발생한 자발적 비장 파열: 증례보고)

  • Lee, Sung Bae;Choi, Young Il
    • Journal of Trauma and Injury
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    • v.27 no.4
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    • pp.208-210
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    • 2014
  • Rupture of the spleen is relatively common, both immediately and in a delayed fashion following significant blunt abdominal trauma. However, atraumatic splenic rupture rarely occurs. Multiple underlying pathologies have been associated with splenic rupture without trauma, including hematological, neoplastic, inflammatory and infectious conditions. In our case, a 21-year-old male without prior medical history visited the hospital with left upper quadrant abdominal pain that had started one day earlier. He had no history of trauma. An abdominal computed tomography (CT) scan found a collection of perisplenic fluid, accompanying a splenic rupture. Due to the patient's stable vital signs and lack of clinical progression of hemorrhage, he underwent conservative treatment. The patient was discharged at day 14 without complication. Rupture of a normal spleen without a history of trauma is not often reported, and it has long been a subject of debate. Ruptures of normal spleen almost always follow some kind of trauma, such as a car accidents or a fall from significant heights. Here, we report a case of spontaneous rupture of a normal spleen in the absence of other medical pathologies or triggering factors.

Review on Environmental Impact Assessment and Adaptation Strategies for Climate Change (기후변화에 따른 적응대책과 환경영향평가)

  • Choi, Kwang-Ho
    • Journal of Environmental Impact Assessment
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    • v.20 no.2
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    • pp.249-256
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    • 2011
  • Causing by green house gas emission, global warming is being accelerated significantly. This global warming cause world climate to change quiet different than before and we call this phenomenon is Climate Change. Environmental Impact Assessment being implemented in Korea is to prevent predicted environmental impacts from deteriorating within the domestic information and situation. As the climate change is getting severe, new meteorological records can be occurred which is exceeded existing statistical data. According to KMA(Korea Meteorological Administration) data, maximum value of precipitation and temperature in many regions changed with new data within last decade. And these events accompanied with landslides and flooding, and these also affected on water quality in rivers and lakes. According to impacts by climate change, disasters and accidents from heavy rain are the most apprehensive parts. And water pollution caused by overflowed non-point sources during heavy rain fall, fugitive dust caused by long-term drought, and sea level rise and Tsunami may affect on seaside industrial complex should be worth consideration. In this review, necessity of mutual consideration with influences of climate change was considered adding on existing guideline.