• 제목/요약/키워드: Medical accidents

검색결과 591건 처리시간 0.301초

교통사고에 의한 소아 족부 압궤손상에 대한 치료결과 (The Results of Treatment for Motor Vehicle-related Crushing Injuries of Foot in Children)

  • 한수봉;김홍균
    • Archives of Reconstructive Microsurgery
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    • 제16권2호
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    • pp.113-118
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    • 2007
  • Purpose: The purpose of this work was to describe the results of treatment for motor vehiclerelated crushing injuries among children and adolescents under sixteen years in Korea. Materials and Methods: A retrospective analysis was conducted of data from children who were under sixteen year and injured foot by motor vehicles. Cases were documented 1) age at the time of injury, 2) injured site, 3) the area of accident, 4) the kind of vehicle, 5) associated injuries, 6) methods of treatment for soft tissue reconstruction and 7) complications. The relationships between the area of accident and associated injuries, and the kind of vehicle and associated injuries were analyzed using Chi-square test and Fisher exact test. Results: There were 97 children who were 15 year and younger. The mean age was 7.4 years, and 65% were boys. The left foot was more dominant side of injury (57%). Seasonal variation was seen with the number of injuries peaking during the summer (43%, p<0.05). Among the vehicles, 78.3% were the large vehicles (bus, truck or van). The where of accident was more frequent at an alley or less than two lanes of traffic. But, the relationships between the place of accident and associated injury or the kind of vehicles and associated injury were not statistically significant. The associated injury were fracture or dislocation (23 cases, 35.9%), injury of tendon (21 cases, 32.8%). There were amputation or disarticulation of foot in 8 cases (8.2%) and post-traumatic deformities such as flatfoot, hindfoot varus or valus deformities by tendon injury in 7 cases (7.2%). Conclusion: More than 50% of crushing or degloving injuries of child's foot by traffic accidents happened in boys between 5 to 9 years old. The associated injury was unrelated with size of vehicles or accident place at the time of accident. But, even though foot injury happened in an alley or one lane by small vehicles, child who hurt feet by car need thorough investigation about associated injury. If a surgeon keep in mind and treat child to associated injury necessarily, can minimize complication. Microsurgical reconstruction for soft tissue defect was prior to other methods.

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CPN 모델의 역방향 안전성 분석 도구 개발 (Development of Backward Safety Analysis Tool for CPN Models)

  • 이우진;채흥석;차성덕;이장수;권용래
    • 한국정보과학회논문지:컴퓨팅의 실제 및 레터
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    • 제5권4호
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    • pp.457-466
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    • 1999
  • 원자력 발전소 계측 제어 시스템, 의료 관련 시스템, 항공 관련 시스템 등 실생활과 밀접한 시스템에 소프트웨어의 사용이 점차 증가하고 있다. 이러한 시스템에서 소프트웨어의 오류는 예기치 않는 사고를 유발하여 인명, 재산상의 심각한 타격을 줄 수 있다. 그러므로 고신뢰도 소프트웨어의 개발 시에는 반드시 시스템의 안전성을 보장해 주어야 한다. 역방향 안전성 분석 방법은 시스템의 안전성을 분석하는 한가지 방법으로서 시스템의 위험 상태를 정의하고 그 위험의 원인들을 추적, 분석함으로써 안전성에 대한 효율적인 분석을 수행할 수 있는 장점을 갖는다. 이 논문에서는 소프트웨어 개발 초기 단계에서 안전성을 분석할 수 있는 방법으로 Colored Petri Nets(CPN)에 기반을 둔 역방향 안전성 분석 방법을 제시한다. 또한 CPN 역방향 안전성 분석 도구인 SAC(Safety Analyzer for CPN)의 설계 및 구현에 대해 언급한다. SAC은 기존의 상용 CPN 모델링 도구인 Design/CPN과 연계하여 사용될 수 있으므로 CPN으로 모델링된 시스템의 안전성을 분석할 수 있다는 장점이 있다. 이 논문에서는 예제로 자동 교통 제어 시스템의 일부를 CPN으로 모델링하고 SAC을 이용한 분석 과정을 기술한다.Abstract In safety-critical systems such as nuclear power plants, medical machines, and avionic systems which are closely related with our livings, the usage of software in the controlling part is growing rapidly. Since software errors in safety-critical systems may cause serious accidents leading to financial or human damages, system safety should be ensured during and after development of a system. A backward safety analysis technique defines system hazards and tries to trace their causes by analyzing system states backward. In this paper, we provide a backward safety analysis technique based on Colored Petri Nets(CPN), which is applicable to the early software development phase. Also Safety Analyzer for CPN(SAC), the supporting tool, is designed and implemented. Since SAC is compatible with Design/CPN, a commercial tool for supporting CPN, it can be applicable to analyze safety in practical problems. As an example, we model a part of the traffic light control system using CPN and analyze safety properties of the model using the SAC tool.

고령자를 위한 에너지 소비 추정 및 낙상 측정 시스템에 관한 연구 (A Study on the Estimation of Energy Expenditure and falls measurement system for the elderly)

  • 임채영;전기만;고광철;고광락;김경호
    • 한국컴퓨터정보학회논문지
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    • 제17권4호
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    • pp.1-9
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    • 2012
  • 고령화 사회에 진입하면서, 고령자 사고 중 낙상이 차지하는 비율은 연령의 증가에 따라 높아지고 있는 실정이다. 본 연구에서는 고령자의 인체 활동 중 에너지 소비 추정 및 낙상의 유무를 판별하기 위하여 단일 칩으로 구성된 3축 가속도 센서와 다채널을 고려한 2.4GHz대역의 RF 칩을 이용하여 설계하였다. 제안하는 시스템은 인체 활동을 측정할 수 있는 신호 측정부와 RF통신부로 구성되어 있으며, 인체 활동 측정부는 인체 활동 중 소비된 에너지를 추정하고 고령자의 낙상 상태를 파악하기 위한 것으로 3축 가속도 센서를 활용하여 센서의 신호를 분석함으로써 인체 활동 및 낙상의 유무를 판별한다. RF통신부는 nRF24L01p로 구현하고, 프로세서는 저전력 8bit 마이크로 컨트롤러인 ATmega88로 구성한다. 에너지 소비를 추정한 결과 트레드밀과 비교시 제안하는 시스템과 7.8%의 오차를 보여 인체 활동 중 에너지 소비를 추정할 수 있는 가능성을 제시하였다. 인체활동과 낙상 검출을 위한 모니터링은 신호 벡터크기(Signal Vector Magnituge, SVM) 및 신호 크기 범위(Signal Magnitude Area, SMA)의 임계값으로 판별하며 무구속적 측정에 의한 판단이 가능하도록 구성하였다.

장애인의 이차장애 발생경험 및 대응에 관한 연구 (Study on the Experience and Response of Secondary Disabilities)

  • 전지혜;남지현
    • 융합정보논문지
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    • 제10권4호
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    • pp.151-159
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    • 2020
  • 장애인구의 고령화나 일차장애의 특성 및 사회환경적인 장애억압과 스트레스로 인해 장애인의 이차적 건강상태는 더욱 취약하다. 이에 본 연구에서는 장애인의 이차장애 경험이 어떠하며, 이차장애 발생시 어떻게 대응하였는지 살펴보고자 하였다. 총 13인의 이차장애를 가지고 있는 중증장애인을 초점집단면접하였으며, 현상학적 연구방법을 적용하여 분석하였다. 분석결과, 장애인들은 노화와 일차장애의 경험의 변주, 일차장애 관리문제와 생활사고, 장애와 건강에 대한 노동시장의 몰이해, 이차장애 위험에 대한 이해 및 예방부족 속에서 이차장애 발생을 경험하고 있었다. 이에 대한 대응으로, 장애인은 몸과 일, 몸과 학업사이에서 양자택일을 하거나, 개인차원에서 이차장애 악화를 예방하고자 애쓰거나, 병원 출입을 계속해나가거나 건강을 최우선으로 하는 삶을 선택하는 등 삶의 조율을 끊임없이 해나가고 있었다. 이차장애를 경험하면서 장애인들은 생의 위협을 경험하고, 삶을 끝까지 견디고 싸워내야 하는 것으로 인식하기도 하였고, 장애인과 비장애인의 다름을 인정하고, 이차장애를 겪어내야 하는 삶에 초연해지기도 하였으며, 사회제도적 지원을 요청하기도 하였다. 본 연구 결과를 바탕으로 의료적 차원의 방안, 노동시장에서의 제도적 지원 방안, 사회복지 실천상의 지원방안에 대하여 논의하였다.

소방서 실내공간의 화학적 유해인자 2차노출과 실내공기질 특성 (Characterization of Secondary Exposure to Chemicals and Indoor Air Quality in Fire Station)

  • 김수진;함승헌;전정석;김원
    • 한국화재소방학회논문지
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    • 제33권4호
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    • pp.140-151
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    • 2019
  • 본 연구에서는 소방관들이 화재현장에서 복귀 후 소방청사 내에서 2차적으로 노출된 화학적 유해물질의 실내공기질을 평가하였다. 서울시에 소재한 4개 소방서를 선정하였고, 그 중 2개 소방서는 실제 화재현장에서 소방활동 종료 귀소 후에, 다른 2개 소방서는 대조군으로 설정하여 출동과 상관없이 평소 수준의 실내공기질을 측정하였다. 소방안전지도 전산시스템을 이용하여 서울시에서 발생하는 모든 화재사고에 대하여 24시간 모니터링을 실시하였고 중급규모 이상의 사고에서 실험군이 출동하게 되는 경우 귀소 후 바로 실내공기질을 측정하였다. 11개 유해물질 항목(미세먼지, 포름알데히드, 휘발성유기화합물, PAH, VCM, 산류, 석면, CO, CO2, NO2, O3)을 공정시험법에 따라 측정하였다. 유해물질 11종 중 3종이 국내·외 기준을 초과하였고 1종은 국외기준에 육박하는 것으로 확인되었다. 특히 총휘발성 유기화합물, 이산화탄소, 황산은 각 2.5배, 2.2배, 1.1배가 환경부 및 고용노동부 기준보다 높았다. 또한, 포름알데히드와 황산의 경우, 실험군보다 대조군에서 더 높게 측정되었다. 본 연구결과는 서울특별시 소방청사 내 실내공기질 개선 정책에 활용될 수 있을 것이다.

산업장에서의 안전 및 보건교육활동에 관한 조사연구 - 일부 서울$\cdot$경기지역을 중심으로 - (A Study Occupational Safety and Health Education Activities in the Manufacturing Industries - Around Seoul-City and Gyunggi-Province Area-)

  • 정혜란
    • 한국보건간호학회지
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    • 제2권2호
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    • pp.62-80
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    • 1988
  • The main purpose of this study was to find out the actual status of safety and heal th education activities in the manufacturing industries through survey of 136 plants in Seoul City and Gyunggi- Province Area which employ nurses being charged in the safety and health care services to the employees. A questionaire was mailed to the employees on the Mar. 2, 1987. Total 634 responds from 87 industries were collected by Apr. 20, 1987. Among the total, 618 responds from 80 industries were included in the analysis. The major findings obtainded from this study are summarized as follows; 1. Safety and health education activities in each industry: 1) The $67.6\%$ of safety directors surveyed were performing the education to the employees. And in case of medical directors, it was $18.8\%$ of them. 2) Periodically, annual safety' and health education programs were being drawn up in the $65.0\%$ of the industries (52 companies). And the $60.6\%$ of the planners were safety directors of safety staffs in charge. 3) It was only $27.5\%$ of the companies surveyed in which the safety and health education were performed more than an hour every month. In the $22.5\%$ of the companies, neither safety programs nor health education activities were performed. 4) In the $47.5\%$ of them, safety and health educations were performed in cooperation with related agencies such as health center. 2. The rate of employees participated in safety and health educations; 1) The received rates by subjects of the educations when labors were newly employed to their companies were as follows; education regarding danger and profer handling method of machinery and appliances: $64.2\%$, education regarding noxiousness and handling method of raw materials: $42.2\%$, etc. 2) The $63.6\%$ of the labors received educations on safety and health when they changed their work places. 3) The $74.8\%$ of the labors received specific safety and health educations. 4) The general safety and health educations were received by the $47.2\%$ of management and clerical personnel and $50.0\%$ of labors pre and post physical examination. 3. The main reasons of inactive performance of the educations were as follows; lack of knowledge and inexperience of the occupational safety and health staffs, lack of cooperations between themselves and low need of workers for safety and health education, etc. 4. The preferable subjects of educations for workers; (1) pre and post education of physical examination, (2) education regarding the prevention of accidents. (3) general health care, sex education and family planning, etc. As a result of this study, we can conclude that the safety and health education work in industries as the subject of this study is on the incipient stage. Appropriate measures are to be taken for the activation of safety and health education work such as; continuous public relations, financial and technical supports of the government, training of professional/occupational safety and health staffs, efforts of workers to receive the education and collaborations of the employers.

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불확실성 분석을 이용한 $^{99m}Tc$ 발생기 사용의 방사선위험도 평가 (Radiological Risk Assessment for $^{99m}Tc$ Generator using Uncertainty Analysis)

  • 장한기;김주연;이재기
    • Journal of Radiation Protection and Research
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    • 제29권2호
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    • pp.129-139
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    • 2004
  • 의료 및 산업체에서 중형방사선 선원의 사용증가는 정규 및 사고시 작업자와 일반인에 대해 방사선 노출의 위험을 초래한다. 본 연구에서는 중형 의료용 선원을 사용하는 $^{99m}Tc$ 발생기에 대한 위험도 평가를 수행하였다. 사건수목기법을 활용하여 국내 현실에 적합한 시나리오를 도출하였으며, 정규 및 사고시로 나누어 작업자와 일반인에 대해서 몬테칼로 기법에 의거한 불확실성 분석을 수행하였다. 아울러 위험도결과에 가장 영향을 미치는 인자를 알아보기 위해 5가지 독립변수에 대한 민감도 분석을 수행하였다. 빈도수의 기여로 인해 정규작업에 대한 위험도가 사고시 위험도보다 높게 평가되었다. $^{99m}Tc$ 발생기의 경우 정규작업 시 작업자 $0.6mSvy^{-1}$, 일반인 $0.014mSvy^{-1}$ 이며 사고시 작업자 $3.96mSvy^{-1}$, 일반인 $0.0016mSvy^{-1}$로 평가되었다. 정규작업 보다 사고시의 불확실성 범위가 10배 정도 더 높게 나타났다. 또한 민감도 분석 결과 선원의 강도, 작업거리, 작업시간이 위험도에 가장 영향을 미치는 인자로 나타났다. 이리한 위험도 평간 방법론과 결과는 중대형 선원에 대한 위험도 정보 활용 규제 (Risk-Informed Regulation)에 유용할 것으로 기대한다.

농촌거주 외짝가족의 건강관리-부부가족과의 비교 (The Odd Pair Family's Health management in rural, Korea -Comparison with the Pair Family-)

  • 이승교;조영숙;원향례
    • 한국지역사회생활과학회지
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    • 제16권1호
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    • pp.149-163
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    • 2005
  • Family has emerged as a key concept for health, and it has been identified as one of the most important conditions. The relationship between health habit and its management is different depending on family. The odd pair family, mostly rural lower income class, worry to have poor health because of no spouse and small family size. One thousand eight hundred and seventy(1870) subjects were collected in 9 provinces through the sampling of Probability Proportional to Size (PPS). Questionnaire method was conducted on health checking, bath states, alcohol consumption, cigarette smoking, and the prevalence of farmer's health related problems. The main results were as follows: 1) The characteristics of odd pair families are that the head of household is female(77% ), the size of family is small(1.76 persons), the education level is low(7.5 years for male, 3.1 years for female) and the age group is old (male: 89.78 year old, female: 73.69 year old). 2) For the odd pair family, the frequency of health checking is quite low with one or two times per year(l0.2%) and the rate of no-health checking is much higher(35.8%) .3) Bathing utility is not available 29.6% of the odd pair family and only cold water is supplied at home for the 11.5 % of them. However, for the paired family, 9.8 % of them has no bathing utility and the rate of the family supplied with only cold water is just 7.9%. 4) The bathing frequency score of odd pair family is l.74points for male and 1.25 points for female. 5) The rate of smoking habits for odd pair family is 68.5 % and specially it is 7.6% for female, which is higher comparing with that of pair family. 6) The smoking frequency score of odd pair family is 1.57 points. 7) Alcohol drinking frequency score of odd pair family is 1.79 points for male, and 3.24points for female. 8) Farmers' syndrome(FS) revealed 38.7% of odd pair family and it is lower than that of pair family(57.3%). Special pain of FS was huckle bone and muscle(28.4%) and articular pain(24.l %). The pain rate of huckle bone and muscle(43.l %) and articular pain(33.5%) were higher in a year in odd pair family were lower than those of pair family: farming machine caused accidents(6.5%) and pesticide poisoning(5.7%). l0) The odd pair family use more frequently medical clinic or public health center for the treatment of FS(74.7%) and pesticide poisoning(62.5%) than the pair family for FS(69.0%) and for pesticide poisoning(.53.6%). The score of FS treatment is 5.70 points for odd pair family and it is not significantly different from 5.62 points of the paired family. The result of pesticide poisoning treatment score is as same as that of FS.

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인터넷 육아전문 사이트의 육아정보 분석 (An Analysis of Internet based Child Care Portal sites)

  • 이자형;이정은;오진아;김혜영;김경원;박영애;김성희;김지현;정향진;천기정
    • 부모자녀건강학회지
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    • 제4권2호
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    • pp.56-72
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    • 2002
  • Web sites on the internet are getting major resources to gain information related to child care. Though the numerous web sites deliver child care information, they have never been evaluated with criteria before. The purpose of this study is to identify existence and organization of child care portal sites and to analysis their contents, therefore to suggest guidelines for parents. The survey was conducted from Sep. 1. to Oct. 30., 2001. by means of Lycos Korea and Daum search engine and finally 45 portal sites related to child care were selected eliminating the commercial and personal homepages. The results were as follows: 1. Most of the sites(95.6%) were operated by corporations without registration(82.2%). Consultants were mostly professional (71.1%). 2. The contents were analyzed 4 categories including 19 themes. 3. Diet & Nutrition category include weaning food, breast feeding, bottle feeding and snack. The recipe and type of weaning food on months were topped(64.44%). 4. Infant Care category include bathing, sleeping, clothes, skin care and cord care. bathing method and heat of bathing water were topped(44.44%). 5. Growth & Development category was consisted of developmental characteristics, dental growth, play & exercise and learning & guidance. Developmental stage and motor development were topped (62.22%). 6. Health maintenance & promotion category was consisted of emergency care, prevention of accidents, vaccination, common pediatric disease and parental role. Care of diarrhea, constipation and fever, and precautions for vaccination were topped(48.89%).

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공공시설 접근성을 통한 마을단위 안전지수 분석 (Analysis of Village Safety Index using Accessibility to Public Facilities)

  • 전정배;김솔희;서교;윤성수
    • 농촌계획
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    • 제22권2호
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    • pp.121-129
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    • 2016
  • A disaster can be defined in many ways based on perspectives, in addition, its types are able to classify differently by various standards. Considering the different perspectives, the disaster can be occurred by natural phenomenon that is like typhoon, earthquake, flood, and drought, and by the accident that is like collapse of facilities, traffic accidents, and environmental pollution, etc. Into the modern society, moreover, the disaster includes the damages by diffusion of epidemic and infectious disease in domestic animals. The disaster was defined by natural and man-made hazards in the past. As societies grew with changes of paradigm, social factors have been included in the concept of the disaster according to new types unexpected by new disease and scientific technology. Change the concept of social disasters, Ministry of Public Safety and Security (MPSS) has provided the regional safety index, which measures the safety level of a local government. However, this regional safety index has some limitation to use because this index provides the information for city unit which is a unit of administrative districts of urban. Since these administrative districts units are on a different level with urban and rural areas, the regional safety index provided by MPSS is not be able to direct apply to the rural areas. The purpose of this study is to determine the regional safety index targeting rural areas. To estimate the safety index, we was used for 3 indicators of the MPSS, a fire, a crime, and an infectious disease which are evaluable the regional safety index using an accessibility analysis. For determining the regional safety index using accessibility from community centers to public facilities, the safety index of fire, crime, and infectious disease used access time to fire station, police office, and medical facility, respectively. An integrated Cheongju, targeting areas in this study, is mixed region with urban and rural areas. The results of regional safety index about urban and rural areas, the safety index in rural area is relatively higher than in the urban. Neverthless the investment would be needed to improve the safety in the rural areas.