• Title/Summary/Keyword: Suffocation

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Development of Educational Content for Nurses to Prevent Safety Accidents of Hospitalized Children: Delphi Approach

  • Lee, Yun Sil;Oh, Won-Oak
    • Child Health Nursing Research
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    • v.25 no.1
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    • pp.74-84
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    • 2019
  • Purpose: The purpose of this study was to develop content for safety education to prevent hospital safety accidents among hospitalized children and to investigate the status of safety education performed by nurses. Methods: First, the Delphi method was used, with 18 experts, to develop educational contents for preventing safety accidents. Second, an exploratory survey was performed of the actual status of safety education for preventing safety accidents among hospitalized children using a questionnaire developed based on the Delphi method. The participants of this study were 159 nurses with at least 6 months of work experience. Results: The educational content developed through the Delphi method for preventing safety accidents among hospitalized children contained seven domains (falls, injury, electric shocks/burns, suffocation/aspiration, poisoning/abuse, kidnapping, medical devices) with 44 topics. The item mean of nurses'perceptions of the importance of child safety education was 4.18, and the actual performance score was 3.72, which was a statistically significant difference (t=11.58, p<.001). Conclusion: These seven comprehensive domains of accident prevention education for hospitalized children are expected to be useful for interventions to support the safety of hospitalized children.

A Study on the Evaluation of Safety Culture in Specialty Contractor (전문건설업 안전문화 평가에 관한 연구)

  • Shin, Sang-Yeon;Paik, Sinwon;Jung, Sung-Lyoung
    • Journal of the Korean Society of Safety
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    • v.36 no.2
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    • pp.18-25
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    • 2021
  • Specialty contractor facilities, which involve a combination of welding and commissioning, face a high risk of serious accidents such as fire, explosion, and suffocation associated with welding work, nitrogen, and argon use. In such facilities, the organizational safety culture has considerable impact on the frequency of accidents. In this study, a safety culture evaluation was conducted on specialty contractors. NOSACQ-50, a standardized survey method on safety culture, was selected as an assessment tool to evaluate the safety culture in specialized construction companies that could not afford to invest heavily in safety. The self-administered questionnaire survey was conducted with 201 workers of four construction companies and the results were analyzed. It was found that in companies with low safety culture, the occurrence of irrationality was 66.0%, while in companies with high safety culture, the occurrence of irrationality was 42.6%. Thus, the difference in the occurrence of irrationality by safety culture was statistically significant. The difference in safety culture level according to the experience of occurrence of irrationality was also significant. It was also found that the higher the belief in safety management authorization, safety responsibilities of managers, worker safety priorities, and safety system effects, the lower the probability of irrationality.

Hazardous and Noxious Substances(HNS) Risk Assessment and Accident Prevention Measures on Domestic Marine Transportation (국내 위험·유해물질(HNS) 해상운송사고 위험도 분석 및 사고 저감방안 연구)

  • Cho, Sim-Jung;Kim, Dong-Jin;Choi, Kang-Sik
    • Journal of the Korean Society of Marine Environment & Safety
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    • v.19 no.2
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    • pp.145-154
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    • 2013
  • HNS, including crude oil and products, shipments have increased. The risk analysis of HNS has assumed the importance, especially in maritime transportation area. There are various forms and kinds of HNS and the consequences of an accident are serious. In order to provide practical measures for preventing accidents, this study analyses the potential risks of HNS on maritime transportation accidents at domestic sea by using Event Tree Analysis. This study carries out risk assessment with F-N curve and risk matrix focusing on liquid cargo carriers (Oil and Products Tanker, Chemical Tanker, LPG/LNG Tanker, etc.). Explosion and sinking, suffocation indicate high consequence when on collision represent high probability. Improving human errors should be the main factor to mitigate risk on human lives.

Effects on Physiological Activities Caused by Oxygen Deficiency and Exposure to Noxious Gases in SD Rats (Rat를 이용 산소 및 유해가스 노출에 따른 운동성 변화와 치사농도 연구)

  • Kim, Hyeon-Yeong;Lee, Sung-Bae;Han, Jeong-Hee;Kang, Min-Gu;Ye, Byeong-Jin
    • Environmental Analysis Health and Toxicology
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    • v.24 no.3
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    • pp.181-191
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    • 2009
  • As an effort to prevent serious accidents involving oxygen deficiency and suffocation in confined spaces and to identify the causes of such accidents, the present study investigated relevant accidents and systems in Korea and other countries. This study also conducted a number of experiments at lethal concentration levels of oxygen deficiency using SD rats and observed the changes of experimental animals with humidity, organic gas (toluene), hydrogen sulfide, carbon monoxide and so on at the oxygen deficient environment. The results of the study are as follows. 1. The results from the experiment conducted using SD rats at lethal concentration levels of oxygen showed that there were no casualties at the 7% oxygen concentration level, but the mortality increase to 20% at 6% oxygen, it was jumped to 90% at 5% oxygen, and it was also dramatically reached 100% at 4% oxygen concentration. Therefore, 5.5% was calculated as the $LC_{50}$ (rat, 4hr) from these dose-response experiments with oxygen deficiency. 2. When we changed the level of toluene, $H_2S$, CO, humidity, and so on, in an oxygen deficient environment, it was observed that the small concentrations of $H_2S$ and CO make the highest effect on animals. In case of 350 ppm $H_2S$, it resulted in 30% mortality, and the 100% mortality was shown in 1,200 ppm CO concentration. The mortality increased as an oxygen deficient condition. However in the case of toluene up to 1,000 ppm, it were not affected with oxygen deficiency, and it did not indicate any significant differences in mortality as 20%, 90% humidities.

Development and Use of Data for Chemical Risk Assessment (화학물질 유해성 평가를 위한 정보의 작성 및 활용)

  • Rim, Kyung-Taek;Kim, Hyun-Ok;Kim, Young-Kyo;Cho, Hae-Won;Ma, Yong-Seok;Lee, Kwon-Seob;Lim, Cheol-Hong;Kim, Hyeon-Yeong;Yang, Jeong-Seon
    • Environmental Analysis Health and Toxicology
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    • v.22 no.1 s.56
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    • pp.91-101
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    • 2007
  • The new chemicals are developed and circulated without the verified toxicity data. So, the accidents and occupational diseases, such as explosion, fire, suffocation about deadly poisons etc. are frequently to workers. Classifications of chemicals suited with guideline and an offer of correct chemical information data are the molt important thing for the establishment of suitable chemical management system. The GHS (Globally Harmonized System of classification and labeling of chemicals) is based with the chemical classifications and unification plan. The warning symbol and phrases are established for improvements of chemical information data system. According to these unified and improved systematic form of data, and the chemical information data, the workplaces will be presented many chemical safety and risk data correctly. In this paper, we will present constructions and accomplishment contents-based chemical management of workplace through development of chemical information data and the nice using for new chemical investigation and risk assessment of chemicals in workplaces.

Analysis of Blood Toluene and Butane in Death Cases of Inhalant Abusers (사망사고 관련된 유해화학 물질 남용자들의 혈액 중 톨루엔과 부탄의 분석)

  • Kim, Nam-Yee;Yang, Young-Geun;Chung, Hee-Sun;Park, Sung-Woo
    • Analytical Science and Technology
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    • v.12 no.6
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    • pp.577-582
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    • 1999
  • The blood toluene concentration was determined by using the GC/MSD with HS-SPME technique in postmortem blood, quantitatively. Butane gases was analyzed by using the GC/FID with HS technique in postmortem blood, qualitatively. Seventy five cases of dead associated with inhalation of glue or butane gases happened in Korea for the last 3 years (1996-1998). In 27 cases of deah due to glue sniffing, nine persons died as a result of a fall while intoxication and their blood tolucne concentration was fairly high in the range of $1.3{\sim}21.6{\mu}g/mL$. In case of death due to butane sniffing, fifty four persons died of acute butane gases inhalation or suffocation, and 6 persons died of butane gases as well as glue inhalation.

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Immunological Gharacterization of Inositol(1,4,5) triphosphate 3-Kinase in Rat Tissues (흰쥐 조직에 존재하는 Inositol(1,4,5) triphosphate 3-Kinase의 면역학적 특성)

  • 김재웅;이서구
    • The Korean Journal of Food And Nutrition
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    • v.6 no.1
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    • pp.37-46
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    • 1993
  • Brain, heart, liver, lung, kidney and thymus etc. 12 organs were removed and homogenized from Dawley-Sprague rats after suffocation. After fractionation of the tissue cytosols, enzymatic activities of the key enzymes in metabolic inositol phosphates cycle, PLC, IPSK and Ins(1,4,5) P35-phosphatase, were measured respectively. Hybridoma monoclones producing anti-lP3K murine monoclonal antibodies were obtained by the fusion of SP2/Ag 0-14 and spleen cells of mouse immunized with purified 53KDa IPSK, screening and cloning procedures. 18 cloned hybridoma cells were obtained, background due to nonspecific binding was very low with 10 clones. These Abs were purified from ascitic fluids by using affi-gel 15, and determined subtype of Abs. When immunoreactivities for rat tissues IP3K were exercised by adding the mixed Abs of 19Gl and 19G2b, they showed an overall similarity with noncompetitive inhibition. Brain tissue has high sensitivity for anti-lP3K Ab, whereas heart tissue has very low activity. In kinetic parameters Km value was 1.58 mM and Vmx value was 5.41umol/min/ml, respectively Only one form of 40 KDa IPSK was detected in heart tissues, however rat brain contains at least three immunologically distinct IP3K (53, 51 and 40 KDa) in western blot analysis. Of them 53 KDa protein was major enzyme in enzymatic activity. Northern blot analysis with 32P-labeled CDNA probe which encodes 1.8 Kb IPSK gene was performed. These results suggest that IPSK are regulated at transcriptional level during rat tissue development.

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A Method to Prevent CO Poisoning from Instantaneous Water Heaters (순간 가스온수기의 CO 중독사고 예방에 관한 연구)

  • Ahan, Jeong-Jin;Yeo, Chang-Hoon;Jo, Young-Do
    • Journal of the Korean Institute of Gas
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    • v.15 no.3
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    • pp.26-30
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    • 2011
  • Instantaneous water heater being not properly installed and not adequately maintained may produce fatal accidents due to carbon monoxide poisoning and suffocation. Insufficient supply of air into the gas appliance for complete burning of the fuel or blocking the outlet of the combustion gas could be a cause to increase carbon monoxide concentration in the exhaust gas of the gas appliance. In this work, the experiments are done with a collected instantaneous water heater using in domestic and the concentration of oxygen near the gas appliance and carbon monoxide in exhaust gas are observed to investigate the risk of instantaneous water heater. The concentration of oxygen near the gas appliance is reduced until 17.7% for the ratio of the ventilation area and floor area being 3.5%. If the outlet of combustion gas is blocked, the carbon monoxide concentration is steeply increasing more than 4,000ppm. Therefore, periodic checking the outlet of combustion gas is more important than vent area to reduce the risk of carbon monoxide poisoning.

Analysis of Clinical Questionnaire on the Five Retardation, Five Stiffness and Five Limpness (오지(五遲) 오연(五軟) 오경(五硬) 유아(幼兒)의 임상면접지 분석)

  • Park, Jae-Hyung;Yun, Young-Ju;Park, Jae-Hyun;Paeck, Eun-Kyung
    • The Journal of Pediatrics of Korean Medicine
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    • v.24 no.2
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    • pp.1-12
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    • 2010
  • Objectives Taking detailed patient history helps earlier diagnosis and treatment of developmental disability. In this study we analyzed the clinical questionnaire to find out the clinical characteristics of those with five-retardation, five-limpness, or five-stiffness. Methods The data was collected from 484 children under the age of six who have visited H oriental medicine clinic for developmental delay. The clinical questionnaire was filled out by their parents and the data was analyzed statistically. Results 436 children showed symptoms of five-retardation, 90 children suffered from five-stiffness, 54 children showed five-limpness and 7 children suffered from five-stiffness and five-limpness complex. Generally, boys had higher chance to show disease symptoms than the girls (2.32:1) and 40 children (8.26%) reported family history of developmental disability. Cerebral palsy ranks the most common familial disease, followed by developmental delay, mental retardation, autistic disorder and language disorder. Among the children we have studied, 285 children (63.19%) showed delayed unassisted walk while 192 children (42.57%) had language disorder. Also, 138 children (28.51%) had both walk and language disorders. The children in this study also showed delayed toilet training and half of them had little stranger anxiety when they were infants. It was also found that 120 children (24.79%) experienced epilepsy. This study reaffirmed that low birth weight, premature birth, and suffocation are major risks causing neurological damage. Conclusions They had history which including family history, problems at birth, epilepsy, face recognition, muscle tone disorder, delayed walking without assistance, language ability, and toilet training.

Experimental study on the applicability of liquid air as the refrigerant in artificial ground freezing for subsea tunnels (해저터널을 위한 동결공법 냉매로서의 액화공기 적용성에 대한 실험적 연구)

  • Son, Young-Jin;Choi, Hyeungchul;Moon, Hung-Man;Choi, Hangseok;Ko, Tae Young
    • Journal of Korean Tunnelling and Underground Space Association
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    • v.18 no.2
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    • pp.175-181
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    • 2016
  • In this paper, the liquid air was selected as the refrigerant in artificial ground freezing to be used for rapid ground freezing and to reduce the risk of suffocation and the applicability of liquid air was verified. In order to evaluate the stability of the liquid air, the oxygen concentration of mixtures with liquid nitrogen and liquid oxygen was experimentally examined to meet the oxygen concentration criteria in the Occupational Safety and Health Act. In addition, the effects of the mixture ratio of liquid nitrogen and liquid oxygen, pressure and flow rate change in the storage vessel on the oxygen concentration in the liquid air were investigated. As a result, the ratio of liquid nitrogen and liquid oxygen 8: 2 was shown to meet the oxygen concentration standards. Pressure and flow rate change in the storage vessel did not have significant effects on the oxygen concentration in the liquid air.