• 제목/요약/키워드: 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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    • 제25권1호
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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.

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

  • 신상연;백신원;정성룡
    • 한국안전학회지
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    • 제36권2호
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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.

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

  • 조심정;김동진;최강식
    • 해양환경안전학회지
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    • 제19권2호
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    • pp.145-154
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    • 2013
  • 유류를 포함한 위험 유해물질(Hazardous and Noxious Substances : HNS, 이하 HNS)의 물동량이 증가하는 추세에 있음에도 불구하고 우리나라에서는 HNS 해상운송 중에 일어난 사고의 분석과 위험에 관한 연구가 미진하다. HNS는 형태와 종류가 다양하고, 사고발생 시 피해가 심각하게 나타나기 때문에 사고에 대한 위험도 분석과 저감방안 모색이 필요하다. 본 연구는 ETA를 통해 국내에서 발생하고 있는 HNS 해상운송사고의 전개과정을 분석하여 사고유형과 특징을 고찰하고, 시나리오별 확률과 인명피해를 산출하여 F-N curve로 표현함으로써 위험도를 평가한다. 또한 Risk Matrix를 이용하여 고위험군 시나리오를 선정하여 국내에 적용 가능한 현실적인 사고 저감방안을 모색한다. 연구의 결과는 충돌사고의 발생확률이 가장 높은 반면 인명위험도는 발생확률이 낮은 질식, 침몰, 폭발의 사고유형이 높은 것으로 나타났다. 이러한 인명피해를 줄이기 위해서는 기본적으로 선내에서 안전수칙 및 작업절차를 준수하는 것으로도 효과를 얻을 수 있다.

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

  • 김현영;이성배;한정희;강민구;예병진
    • Environmental Analysis Health and Toxicology
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    • 제24권3호
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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.

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

  • 임경택;김현옥;김영교;조해원;마용석;이권섭;임철홍;김현영;양정선
    • Environmental Analysis Health and Toxicology
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    • 제22권1호
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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.

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

  • 김남이;양영근;정희선;박성우
    • 분석과학
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    • 제12권6호
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    • pp.577-582
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    • 1999
  • 혈액 중에서 톨루엔을 HS-SPME 법을 이용하여 GC/MSD로 분석하였으며, 부탄가스류의 분석은 HS 법을 이용하여 CC/FID로 분석하였다. 우리 나라의 경우 지난 3년 동안 청소년들이 본드류나 부탄가스류 등을 흡입한 상태에서 사망한 경우가 총 75건이 발생하였다. 본드류를 흡입하다가 사망한 사람은 27명이었으며, 그 중에서 9명은 톨루엔 중독상태에서 자제력의 상실 등으로 인하여 고층에서 떨어지는 추락사를 하였으며, 이때의 혈중 농도 분포는 $1.3{\sim}21.6{\mu}g/mL$으로 상당히 높은 농도였다. 또한 부탄가스를 흡입하다가 질식 사망 또는 흡입 사망한 사람은 54명이었으며, 이 중에는 본드류와 부탄가스를 동시에 흡입하다가 사망한 6명도 포함되었다.

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

  • 김재웅;이서구
    • 한국식품영양학회지
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    • 제6권1호
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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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순간 가스온수기의 CO 중독사고 예방에 관한 연구 (A Method to Prevent CO Poisoning from Instantaneous Water Heaters)

  • 안정진;여창훈;조영도
    • 한국가스학회지
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    • 제15권3호
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    • pp.26-30
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    • 2011
  • 개방형 순간 가스온수기는 설치와 관리가 적절히 되지 않아 일산화탄소 중독과 질식과 같은 인명사고를 발생시킬 수 있다. 연소기에 공기가 충분히 공급되지 않거나 배기구가 막히면 배기가스 중의 일산화탄소(CO)의 농도가 증가하는 특성을 보인다. 본 연구는 가정집에서 사용 중인 개방형 가스온수기를 회수하여 연소기 주변 공기 중산소농도 및 배기가스 중 CO농도의 변화를 확인하였다. 환기구 면적에 따른 산소농도 측정 실험에서 환기구의 면적이 바닥면적의 3.5%에서 산소농도가 약 17.7%로 나타났고, 배기구를 폐쇄한 상태에서 CO농도를 측정한 결과 4,000ppm이상이 측정되었다. 따라서 정기적으로 배기구를 점검하는 것이 환기구 크기보다 일산화탄소 중독사고를 예방하기 위하여 중요하다.

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

  • 박재형;윤영주;박재현;백은경
    • 대한한방소아과학회지
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    • 제24권2호
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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.

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

  • 손영진;최형철;문흥만;최항석;고태영
    • 한국터널지하공간학회 논문집
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    • 제18권2호
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    • pp.175-181
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    • 2016
  • 본 연구는 액체질소와 같이 급속 동결이 가능하면서 질식의 위험을 배제할 수 있는 냉매로서 액화공기를 선정하였고 이의 적용성을 평가하였다. 액화공기의 안정성을 평가하기 위해 액체질소와 액체산소가 혼합된 액화공기의 산소 농도가 산업안전보건법에 제시된 산소 농도 기준에 부합되는지를 실험적으로 검증하였으며, 액체질소 및 액체산소의 혼합 비율, 액화공기 저장용기의 압력변화 및 유량변화에 따른 액화공기 산소 농도변화를 살펴보았다. 그 결과, 액체질소 및 액체산소를 8:2로 혼합하였을 경우 산업안전보건법에 제시된 산소 농도 기준에 부합되는 것을 확인하였다. 액화공기 저장용기의 압력변화 및 유량변화는 액화공기의 산소 농도에 큰 영향을 미치지 않는 것으로 나타났다.