• Journal of Trauma and Injury
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• 제35권4호
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• pp.240-247
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• 2022

Purpose: Studies on the relationship between obesity and injuries, especially those sustained in pedestrian traffic accidents, are lacking. We aimed to assess the effects of obesity on the severity of injury at the time of admission to the emergency room in patients who experienced pedestrian traffic accidents. Methods: This study included trauma patients registered in the Korean Trauma Database from July 1, 2018 to December 31, 2020, whose mechanism of injury was pedestrian traffic accidents and who were treated at a single institution. Those aged below 15 years were excluded. Patients were assigned to nonobese and obese groups based on a body mass index of 25 kg/m². An Injury Severity Score of 25 or greater was considered to indicate a critical injury. Results: In total, 679 cases of pedestrian traffic accidents were registered during the study period, and 543 patients were included in the final analysis. Of them, 360 patients (66.3%) and 183 patients (33.7%) were categorized as nonobese and obese, respectively. The median age was significantly higher in the nonobese group than in the obese group (60 vs. 58 years). Multivariate analysis demonstrated that the odds ratio for critical injury in obese patients was 1.59 (95% confidence interval, 1.01-2.48) compared with nonobese patients. Conclusions: Obesity affected the likelihood of sustaining severe injuries in pedestrian traffic accidents. Future studies should analyze the effects of body mass index on the pattern and severity of injuries in patients with more diverse injury mechanisms using large-scale data.

• Journal of Trauma and Injury
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• 제36권3호
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• pp.187-195
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• 2023

Purpose: This study aimed to determine the risk factors associated with the severity of fall-related injuries among patients who suffered a fall from similar heights and analyze differences in injury sites according to intentionality and injury severity. Methods: The Emergency Department-based Injury In-depth Surveillance (EDIIS) data collected between 2019 and 2020 were used in this retrospective study. Patients with fall-related injuries who fell from a height of ≥6 and <9 m were included. Patients were categorized into the severe and mild/moderate groups according to their excessive mortality ratio-adjusted Injury Severity Score (EMRISS) and the intention and non-intention groups. Injury-related and outcome-related factors were compared between the groups. Results: In total, 33,046 patients sustained fall-related injuries. Among them, 543 were enrolled for analysis. A total of 256 and 287 patients were included in the severe and mild/moderate groups, respectively, and 93 and 450 patients were included in the intention and non-intention groups, respectively. The median age was 50 years (range, 39-60 years) and 45 years (range, 27-56 years) in the severe and mild/moderate groups, respectively (P<0.001). In multivariable analysis, higher height (odds ratio [OR] 1.638; 95% confidence interval [Cl], 1.279-2.098) and accompanying foot injury (OR, 0.466; 95% CI, 0.263-0.828) were independently associated with injury severity (EMR-ISS ≥25) and intentionality of fall (OR, 0.722; 95% CI, 0.418-1.248) was not associated with injury severity. The incidence of forearm injuries was four (4.3%) and 58 cases (12.9%, P=0.018) and that of foot injuries was 20 (21.5%) and 54 cases (12.0%, P=0.015) in the intention versus non-intention groups, respectively. Conclusions: Among patients who fell from a similar height, age, and fall height were associated with severe fall-related injuries. Intentionality was not related to injury severity, and patients with foot injury were less likely to experience serious injuries. Injuries in the lower and upper extremities were more common in intentional and unintentional falls, respectively.

• 한국정보전자통신기술학회논문지
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• 제16권1호
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• pp.50-59
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• 2023

본 연구에서 강원도 강릉시에 위치한 A기관의 2020년, 2021년의 2년간 데이터를 중심으로 손상으로 입원한 환자를 손상 코드별로 분석하고자 하였다. 각 연도별 발생인원이 많은 손상코드를 분석하였으며, 이에 따른 손상외인코드를 분석하였다. 손상외인 코드의 빈도수를 분석하여 손상코드의 발생 원인을 분석하였다. 손상코드 S0650는 손상외인코드 W189, X5999의 빈도수가 가장 많았으며, 이는 상세불명의 장소 또는 화장실에서 넘어졌을 때 열린 두개 내 상처 없는 외상성 경막하 출혈의 원인으로 판단하였다. 손상코드 S72120는 손상외인코드 W010, W180의 빈도수가 가장 많았으며, 주거지에서 넘어질 때 발생하는 폐쇄성 대퇴골전자간 골절의 원인이 되는 것으로 판단하였다. 손상코드 S32090은 X5999의 빈도수가 많았으며, 상세불명의 장소에서 노출에 의한 사고로 요추 부위의 폐쇄성 골절의 원인 되는 것으로 분석 하였으며, 손상코드 S72.090에서 발생되는 손상외인 코드는 W010, W180의 빈도수가 많은 것을 확인하였다. 주로 주거지에서 미끄러지거나 헛디딤으로 인해 대퇴골 경부의 폐쇄성 골절의 원인이 되는 것을 확인 할 수 있었으며, 손상코드 S0220은 Y049의 손상외인코드의 빈도수가 높았으며, 주로 완력 또는 주먹에 의해 비골이 골절되는 것을 확인하였다. 이와 같이 손상코드 별 손상외인코드의 빈도수를 분석하여 손상코드의 발생 원인을 분석하였다.

• 한국직업건강간호학회지
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• 제13권1호
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• pp.48-58
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• 2004

Purpose: To identify the factors which are related to compensated low back pain disability. These include individual. workplace. economic and injury factors. Method: Data collection was performed at 13 office of Korea Labor Welfare Corporation and 29 hospitals from 23th June to 4th August 2003. This study used 212 workers with compensated low back pain. Result: From the bivariate analysis, industry kind, type of employment, rest schedule, Job control, compensation, payment of company, diagnosis, cause of occupational injury, duration of compensated low back pain, pattern of pain, operation, other injury is related to low back pain disability. From the multiple regression analysis, rest schedule, compensation, diagnosis, pattern of pain, other injury have statistically significant effect on the low back pain disability. Conclusion: In order to reduce low back pain disability, occupational rehabilitation nursing intervention is necessary to workers with compensated low back pain.

• Archives of Plastic Surgery
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• 제42권4호
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• pp.407-410
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• 2015

The aim of this study is to review the protective effect of a bicycle helmet on each facial location systematically. PubMed was searched for articles published before December 12, 2014. The data were summarized, and the odds ratio (OR) between the locations of facial injury was calculated. A statistical analysis was performed with Review Manager (The Nordic Cochrane Centre). Bicycle helmets protect the upper and middle face from serious facial injury but do not protect the lower face. Non-wearers had significantly increased risks of upper facial injury (OR, 2.07; P<0.001) and of middle facial injury (OR, 1.97; P<0.001) as compared to helmet users. In the case of lower facial injury, however, only a slightly increased risk (OR, 1.42; 95% confidence interval (CI), 0.67-3.00, P=0.36) was observed. The abovementioned results can be attributed to the fact that a helmet covers the head and forehead but cannot cover the lower face. However, helmets having a chin cap might decrease the risk of lower facial injury.

• 대한안전경영과학회지
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• 제18권1호
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• pp.35-43
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• 2016

The past five years, industrial accidents due to food processing machinery have been occurred 725 cases, injury by the food cutter occurred 390 cases in its. On this study, to prevent food cutter injury, an attempt is made to present the improved documentation of fundamental safety of the food cutter workplace through the injury analysis of food cutter injury and surveys on band saw machine business field. Analyzing the result of 390 cases on food cutter injury, amputation, cut, puncture occupied 75.1 percent (293 cases), compressed occupied 23.3% (91 cases), also it showed constant component without reference to gender, age, scale of work place, service period. In the survey, lack of concentration for workers have been pointed out as the biggest factor in the cause of band saw machine injury. Meanwhile, such as the EU and Japan, whereas presents safety standards about band saw machines that are tailored to each country, on the other hand, South Korea doesn't provide the standards. To prevent the food cutter injury, safety standards need to be established in consideration of amputation, cut, puncture, compressed injury and financial support is required to procure protective equipment at each place of business.

• Human Ecology Research
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• 제60권4호
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• pp.535-547
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• 2022

This study aimed to examine the effect of parental psychological control on adolescents' non-suicidal self-injury and verify whether this effect is mediated by depression. In the first survey of 647 middle and high school students, only those who had experiences of non-suicidal self-injury were selected (136 adolescents). For data analysis purposes, descriptive statistics for each measured variable and Pearson's correlation coefficients among research variables were calculated. In addition, Process Macro - Model 4 by Hayes (2013) was used to investigate the mediating model. Finally, the bootstrapping method was applied to confirm the significance of the mediating effect. The results of this study were as follows. First, parental psychological control and depression directly affected the frequency of non-suicidal self-injury among adolescents. Second, depression mediated the relationship between parental psychological control and non-suicidal self-injury. In conclusion, the more parents controlled their children's psychological factors, the higher the level of depression among adolescents, and as a result, the higher the frequency of non-suicidal self-injury. These findings suggest that educational intervention on parental psychological control is important to prevent and reduce non-suicidal self-injury; however, psychotherapy intervention that reduces the levels of depression should also be required.

• 자동차안전학회지
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• 제6권1호
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• pp.22-26
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• 2014

Fatality of accidents on curved roads where rollover accidents are likely to take place was higher than that on straight roads. We ought to investigate factors affecting injury severity of occupant in a vehicle rollover accident. From January 2011 to December 2013, we collected data about rollover motor vehicle crash accident. We surveyed occupant's injury, vehicle type, safety devices, type of rollover accident and the number of turn in accident. Of the 132 subjects, 56.1% were males, 50.8% were drivers, 48.5% fastened seat belt, and air bag deployed in 12.1%. Among injuries sustained head, chest and abdomen were major sites of severe injury(Abbreviated injury scale>2). Seat belt use, rollover type, and the number of 1/4 turn were found to have significant positive correlations with Injury Severity Score. The regression analysis herein found significance in safety belt use and the number of 1/4 turn. Seat belt use was a significant factor affecting injury severe of occupant in rollover accident.

• 한국융합학회논문지
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• 제9권10호
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• pp.423-432
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• 2018

본 연구는 볼링 선수의 상해 경험과 유형에 따라 상 하지 근력과 좌우 비대칭 차이를 살펴보고자 하였다. 본 연구 대상자는 상지 상해 경험 집단(upper body injury group, [UG], n=16)과 하지 상해 경험 집단(low body injury group, [LG], n=8), 상해 미경험 집단(non injury group, [NG], n=15)으로 선정하였다. 볼링 선수의 상 하지 근력은 Manual Muscle Tester 01165 (Lafayette Instrument Company, USA)로 등척성 최대 근력(Isometric strength)을 측정하였으며, 비대칭 지수(symmetry index, [SI])를 산출하였다. 그 결과는 다음과 같다. 하지 근력의 좌우 비대칭 지수는 엉덩관절의 신전과 외측회전 최대근력에서 상해 무경험 집단이 하지 상해 경험 집단에 비하여 통계적으로 크게 나타났다(p<.05). 위 결과를 통하여 하지 근력의 좌우 대칭이 하지 상해와 밀접한 관련이 있다고 판단되며, 상해 예방을 위해 하지 근력의 좌우 대칭 훈련이 필요할 것으로 판단된다.

• Safety and Health at Work
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• 제10권3호
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• pp.260-264
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• 2019

Background: Professional dance is a physically demanding career path with a high injury prevalence, yet an ingrained culture of hiding or pushing through injuries. Developing better knowledge surrounding the cultural beliefs and behaviors related to injury reporting is critical to understand their incidence and burden. Therefore, the aim of this study was to investigate injury fear and injury reporting behaviors in professional dancers in Australia. Methods: This study utilized data collected in a cross-sectional survey of professional dancers in Australia. Descriptive analysis of injury fear and reporting stigma are presented with comparisons between subgroups (full-time versus part-time dancers; men versus women) conducted using two-sided Fisher's exact tests. Results: A total of 146 professional dancers were included. Over half (63%) of the respondents reported that they fear sustaining a dance-related injury, that they believe there is still a stigma surrounding injuries in dance (62%), and that this stigma has led to a delay in reporting or seeking care for an injury (51%). A lower proportion of part-time than full-time dancers reported that they would usually tell someone within their dance employment about an injury (35.1% vs. 59.6%, p = 0.006). Conclusion: Professional dancers are at risk of losing contracts or roles if they are injured, and therefore, it is common to dance through their occurrence. Many dancers, particularly those dancing part-time, are unwilling to tell their employers about their injuries. Action is required to improve this culture regarding injury reporting and help seeking for more effective injury understanding, prevention, and management in dance.