• Journal of Trauma and Injury
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• 제25권3호
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• pp.105-108
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• 2012

Chyloperitoneum or chylous ascite after trauma is a rare condition. It can develop after direct injuries of lymphatic vessels or cisterna chyli. Though isolated chyle duct injury has sometimes been reported, chyloperitoneum is generally accompanied by various kinds of damage to other intraabdominal organs. There's still no established therapeutic protocol regarding the treatment of chyloperitoneum when it is accompanied by the serious injuries of intraabdominal organs. We describe a 66-year-old male with serious intraabdominal organ injuries after blunt trauma. In our case, chyloperitoneum developed due to the injuries to the mesenteric lymph vessels and compression of cisterna chyli by hematoma around aorta.

• Journal of Chest Surgery
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• 제56권6호
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• pp.431-434
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• 2023

Background: The first 3 ribs are anatomically well-protected, shielded by the large thoracic muscles, the shoulder girdle, and the arm. A significant force is required to fracture these ribs; thus, such fractures suggest a high-energy trauma and are associated with injuries to vital organs of the thorax, such as the aorta, the heart, the lungs and the great vessels. Methods: A retrospective analysis was conducted over a 10-year period at a single hospital. The study assessed patients with fractures of the second rib, including their concurrent injuries and the overall severity of their trauma. Results: Among the 76 patients included in the study, the average age was 47.35 years, 81.5% were men, and 19.5% were women. Thirteen patients (17.1%) survived their injuries. The most common causes of injury were road traffic accidents (63%) and pedestrian injuries (22%). The patients who did not survive sustained injuries to an average of 5 additional organs, while survivors had injuries to an average of 2.07 additional organs. Left rib fractures were the most frequently observed (46%). The most serious concurrent injuries reported were to the aorta (5.26%), heart (10.52%), lung (52.36%), head (57.89%), liver (30.2%), spleen (26.31%), and kidney (17.1%). Conclusion: As indicators of serious injury to vital endothoracic organs, isolated fractures of the second rib should be considered equal to first rib fractures in clinical importance.

• Safety and Health at Work
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• 제13권1호
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• pp.1-2
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• 2022

• 대한토목학회논문집
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• 제34권4호
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• pp.1269-1278
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• 2014

교통문제 해결을 위해 건설된 자동차 전용도로인 도시고속도로는 신호에 의하여 단속되지 않는 연속 교통류가 주된 흐름인 관계로 주행차량들의 주행속도가 일반도로에 비해 높아 교통사고 발생 시 인명 피해의 정도가 매우 크다는 특징이 있으며, 특히 인명 피해의 정도가 큰 중상 교통사고는 전체 교통사고에 있어서 매우 중요한 위치를 점하고 있어 중상 교통사고 발생에 미치는 영향요인에 대한 분석은 중상 교통사고 감소대책 수립 시 가장 우선적으로 고려되어져야 할 것이다. 따라서 본 연구는 도시고속도로에서 발생한 중상 교통사고 발생에 있어 여러 인자들의 복합적 작용을 알아보기 위한 미시적 분석의 일환으로 영향요인의 영향정도를 판별할 수 있는 모델을 구축하였는바, 그 결과는 다음과 같이 나타났다. 첫째, 판별모델에서는 전체 적중률들이 비교적 높게 나타났고, 상관비들을 고려해 볼 때 본 모델들이 유효하다고 판단되었으며, 제반 영향요인들의 특성 역시 명확하게 구분되었다. 둘째, 판별모델을 통하여 도시고속도로에서의 중상 교통사고 발생 영향요인별 문제점을 명확하게 도출할 수 있었다. 셋째, 판별모델을 통하여 도출된 문제점에 대한 개선대책도 명확하게 제시할 수 있었다.

• Journal of Trauma and Injury
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• 제35권3호
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• pp.168-172
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• 2022

Purpose: The neck is a particularly critical region for penetrating injuries due to the close proximity of the trachea, esophagus, blood vessels, and the spinal cord. An open neck injury has the potential for serious morbidity and mortality. The purpose of this study is to evaluate the assessment and management of open neck injuries. Methods: In this retrospective study, open neck injury patients who were admitted to the Trauma Center of Daejeon Eulji Medical Center, Eulji University between December 2015 and December 2017 were analyzed for epidemiology, the mechanism of trauma, the injured organ, complications, and mortality. Results: Thirty-two patients presented with open neck injuries. All patients underwent computed tomographic angiography to evaluate their injuries once their vital signs stabilized. Among these patients, 27 required surgical treatment. The most commonly injured organ was the airway. There were five deaths, and the main cause of death was bleeding. Mortality was associated with the initial systolic blood pressure at the hospital and Glasgow Coma Scale. Conclusions: Mortality from open neck injuries was associated with initial systolic blood pressure at the hospital and Glasgow Coma Scale.

• 교통기술과정책
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• 제9권3호
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• pp.111-117
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• 2012

• International Journal of Contents
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• 제13권3호
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• pp.59-64
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• 2017

The purpose of this study is to identify the types of injuries and the protective behaviors of soccer club members to prevent injuries, and promote health. Data was collected from 395 soccer club members from thirteen football clubs in Seoul and Gyeonggi province using question tool developed by researchers. Data analysis was performed using SPSS 23 for descriptive analysis and Chi-square test. The results showed that sport for soccer injuries was serious and medical expenses was significant. The demographic information showed that 50-year-old and over adults were vulnerable and had a disproportionate number of injuries. Those employees who helded administrative positions, white-collar and specialized jobs also experienced the high level of injury experience. Despite this many injuries, many respondents appeared to be lacking a protective actions, such as not wearing protective gear. It was critical for the club members to improve their knowledge and awareness of safe sports activities.

• Journal of Trauma and Injury
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• 제35권1호
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• pp.3-11
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• 2022

Purpose: The increasing use of electric personal mobility devices (ePMDs) has been accompanied by an increasing incidence of associated accidents. This study aimed to investigate the characteristics of ePMD-related injuries and their associated factors. Methods: This cross-sectional study was conducted using data from the Emergency Department-based Injury In-depth Surveillance database from 2014 to 2018. All patients who were injured while operating an ePMD were eligible. The primary outcome was the rate of severe injury, defined as an excess mortality ratio-adjusted Injury Severity Score of ≥25. We calculated the adjusted odds ratios (AORs) of outcomes associated with ePMD-related injuries. Results: Of 1,391,980 injured patients, 684 (0.05%) were eligible for inclusion in this study. Their median age was 28 years old, and most injuries were sustained by men (68.0%). The rate of ePMD-related injuries increased from 3.1 injuries per 100,000 population in 2014 to 100.3 per 100,000 population in 2018. A majority of the injuries occurred on the street (32.7%). The most commonly injured area was the head and face (49.6%), and the most common diagnosis was superficial injuries or contusions (32.9%). Being aged 55 years or older (AOR, 3.88; 95% confidence interval, 1.33-11.36) and operating an ePMD while intoxicated (AOR, 2.78; 95% confidence interval, 1.52-5.08) were associated with severe injuries. Conclusions: The number of emergency room visits due to ePMD-related injuries is increasing. Old age and drunk driving are both associated with serious injuries. Active traffic enforcement and safety regulations regarding ePMDs should be implemented to prevent severe injuries caused by ePMD-related accidents.

• 대한물리치료과학회지
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• 제10권1호
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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.

• Fibers and Polymers
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• 제4권2호
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• pp.54-58
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• 2003

Previous research on healthcare workers’ protection has concentrated on liquid barrier protection by providing impermeable personal articles such as latex gloves. This property is of high importance but since most blood-borne pathogen transmissions in the healthcare industry are caused by needle-stick injuries, protection from sharp invasive instruments should also be of high concern. And since latex and alike provide no protection against needle-stick injuries, new protective systems need to be developed and evaluated. This part of the study provides a review regarding the current practice of protection and the serious problems that arise from needle-flick injuries. Additionally, the development of new protective system is described. In part II of the study, evaluation of the new system will be provided.