• Journal of Chest Surgery
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• 제30권1호
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• pp.77-82
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• 1997

경북대학교병원 흉븐외과엔서는 1995년 8월까지 약 10년간 본과에 입원하여 치료한 60명의 15세이하 소아연령의 흉부외상 환아 60울을 대상으로, 외상의 원인과 양상 및 치료결과 등을 분석하여, 국내에서 발표됐던 전체 연령군에 대한 결과와 비교하여 소아 연령층의 특수성을 파악하는데 중점을 두어 분석해 보았다. 남아가 46명으로 77%를 차지하였고, 평균연령은 9세였다. 50명의 환아가 들상에 기인하였으며, 둔상환아의 60%이상이 교통사고와 관련되어 있었다. 들상의 경우 늑골골절이 52%로 가장 흔하였고, 그 다음이 기흉, 혈흉 등의 순이었다. 특히 둔상환아의 32%가 늑골골절없이 기흉 등 흉곽내 장기 손상이 있었다. 관통상의 경우 10명 모두 남아였으며, 기흉, 혈흉이 가장 흔하였다. 42%의 환아에서 흉 부이외의 동반손상이 있었다. 치료를 위해 가장 흔히 시행한 외과적 처치는흉강삽관술이었으며(45%), 10례에서 개흉술이 필요하였다. 동반손상아 있었던 경우 MISS score와 중환자실 입실기간 사이에는 유의한 상관관계가 있었다(p<0.05). 9명의 환아에서 합병증이 있었으며 폐혈증으로 1명(1.7%)이 사망하였다.

• 한국산학기술학회논문지
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• 제21권7호
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• pp.446-452
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• 2020

최근 어린이 통학버스 사용이 증가함에 따라 통학버스 운전자 및 동승 보호자의 과실로 인한 사고도 큰 폭으로 증가하고 있다. 정부에서는 이를 방지하기 위한 다양한 정책들을 내놓고 있다. 이에 우리는 어린이 통학버스 사고 방지 및 안전 관리를 위한 시스템을 제안한다. 이 시스템을 이용하면 버스 운전자는 각 좌석별 어린이의 착석 여부와 안전벨트 사용 여부를 동시에 쉽게 확인할 수 있으므로 운전 중에도 어린이들의 상태에 따라 빠르게 대처 할 수 있다. 카메라로 찍히는 이미지를 실시간 분석하여 얼굴을 인식하는 기능이 있어서, 어린이들은 각자의 키에 맞게 길이가 자동 조절된 안전벨트를 사용할 수 있다. 따라서 교통사고 발생 시 발생 가능한 2차 상해를 방지할 수 있다. 또한 어린이들이 버스에서 내린 것을 확인하기 위한 슬리핑 차일드 체크 시스템과 실시간으로 어린이의 위치를 부모에게 알려주기 위한 문자 서비스도 제공된다. 라즈베리파이를 기반으로 하여 모터, 카메라, 압력센서, 블루투스 모듈 등을 이용하여 구현되었다. 이것을 버스 모형에 부착하여 일련의 기능들이 정확하게 동작함을 확인하였다.

• Journal of Preventive Medicine and Public Health
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• 제27권3호
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• pp.447-463
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• 1994

Despite the public health importance of injury and poisoning in terms of its high mortality and incidence, epidemiologic information to be utilized are scarce in Korea. This study was carried out in 1990 on a representative sample population (about 55,000 persons) along with the 6th National Tuberculosis Prevalence Survey in order to estimate the magnitude of injury and poisoning occurrence and to identify its epidemiologic characteristics which can be aided for establishing preventive strategy. Pre-tested and structured Questionnaire was used by trained interviewer to collect data including general information of the person, various information on the injury and poisoning during the past one year such as time and place of its occurrence, its nature and external causes, type of medical institute attended, duration of treatment and outcome of the accident occured. In analysis of the data collected incidence rates per 1000 persons by sex, age group and its nature as well as external causes, and relative frequencies were calculated. The result obtained are as followings; 1. The incidence rate per 1000 was 30 for both sexes, 39 for male and 22 for female, male being 1.8 times more frequent than female. Age adjusted incidences were not much different from the crude rates. Age group specific rate curve showed bimodal shape in both sexes, small peaks in preschool children and higher peaks in older ages. The incidence rate per 1000 people by area was highest in Jeon-bug province (57/1000) and the lowest in Daegu city(11/1000). 2. The place where the injuries occured were road in 46%, within the boundary of house in 25%, and working place in 12% The injuries and poisoning had occured more frequently during the months from March to August of the year than other months. 3. The relatively frequent injuries by its nature were contusion with intact skin surface (19%), fracture of upper limb (13%), open wound of head, neck and trunk (12%) and fracture of lower limb (11%) among males; contusion with intact skin surface (28%), sprains and strains of joints and adjacent muscle (14%), fracture of upper limb (10%) and fracture of lower limb (9%) among females. Higher incidence rate among males than females were fracture of skull (4.5 times), open wound and fractures of limbs ($2{\sim}3$ times). Age specific rate of injuries and poisoning by its nature showed increasing pattern by age in fractures of upper and lower limbs and sprains & strains of joints whereas the age group of 30's showed highest incidence in open wounds of upper limb. Fractures of radius and ulna in upper limb, fractures of tibia & fibula and ankle in lower limb were most frequent among fractures of upper and lower limbs. The frequent injuries among sprains and strains of joints and adjacent muscles were that of ankle, foot and back, and among open wound were that of head and fingers. 4. Relative frequency of injuries and poisoning by external causes showed following order : other accidents (25%), accidental falls (23%), motor vehicle accident (22%) and other road vehicle accident (14%) among males and accidental falls (37%), motor vehicle accident (24%) and other accident (18%) among females. The external causes revealing higher incidences among males than females, were other road vehicle accident (4.8 times), vehicle accident not elsewhere classifiable (4.4 times), accidental poisoning (4.4 times), accidents due to natural and environmental factors (2.8 times), and sucide & self-inflicted injuries (2.8 times). Age specific incidence by external causes for frequent injuries showed that incidence of other accident steadily increased from 10's till age 50's; motor vehicle traffic accident increased from age 20's and dropped after age 60's; on the other hand accidental fall increased strikingly by age. The most frequent external causes among motor vehicle traffic accidents was motor vehicle traffic accident involving collision with pedstrain (69%), pedal cycle accident (30%) and other road vehicle accident (71%) among other road vehicle accidents; falls on same level from slipping, tripping or standing (44%) and other falls from one level to another among accidental falls; accidents caused by machinary (32%) for male and striking against or struck accidentally by objects or person for female among other accidents. 5. Seventy nine percent of the injuries and poisonings were treated in general hospital or hospital/clinic. The duration of treatment ranged from a few days to 123 weeks; the majority(52%) took under 2 weeks, 36% for $3{\sim}8$ weeks and 4% over 21 weeks. 6. The accident resulted in full recovery of normal healthy state in 62%, residual functional defects in 21% and on process of treatment in 16%.

• 자동차안전학회지
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• 제5권2호
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• pp.39-44
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• 2013

Motor vehicle crashes are the leading cause (70%) of children injury and fatality. 98% of Children under the age of 9 who came to emergency room with a traffic accident are not seated in CRS. Reduction in mortality when using CRS (NHTSA study), 71% for infants of 1-2 years old, 54% for 3-6 years old and 7-12 years old. It is very important and essential to use CRS for child passenger safety. But in Korean market, the CRS fitment rate is relatively low (20~40%). For European market, at the start of 2013, Euro NCAP started to check how easy it is to install the most common seats. And US market, NHTSA is planning a new consumer information program of CRS fitment for near future. This study examines CRS installation performance of 3 vehicles which are produced by GM Korea and 21 CRS which are based on sales volume in Korean market. Purpose of this study is to identify both vehicle and CRS design that causes bad interaction for CRS installation.

• 대한건축학회논문집:계획계
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• 제35권1호
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• pp.73-81
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• 2019

The purpose of this study is to draw safe environmental project factors for enhancing the safety of children in peripheral space around children's park and suggest environmental project measures for peripheral spaces around children's parks, based on the survey of children's park users' consciousness on peripheral spaces. Physical space range for this study was limited to low-rise housing area wihtin the radius of 250m, as peripheral spaces around children's parks in which children's playgrounds were built. In addition, the target areas for examining users' consciousness on peripheral spaces around children's parks were selected according to following criteria. 1)areas with highter portion of children; 2) those with higher portion of single-family houses/multi-housing/tenement houses, which constitute low-rise housing areas; and 3) those with higher safety accident rate of children, which was measured based on criminal and traffic accidents. The finding are as follows: first, users' consciousness on safety accidents that are likely to occur in peripheral spaces around children's parks was examined to show that there is most prominent difference between satisfaction and necessity. This result suggests that users are clearly conscious of the necessity of environmental improvement rather than the satisfaction with the current peripheral environment around children's park.; second, for the difference between satisfaction with and necessity of environmental project factors for access/boundary spaces around children's pakrs, there is most significant difference between the satisfaction with and the necessity of establishment of facilities against illegal parking for clear visibility of community roads, for access spaces, and the separate establishment of bicycle racks around main entry into parks, for boundary spaces. Users' necessity of the establishment of them is judged to be derived from the fact that the safety of children and even adults is threatened, because bicycles invaded into the deep inside of children parks. This study analyzed a correlation between satisfaction and necessity through factor and IPA analysis, and should be initially considenred if the future environmental improvement project would be conducted to promote safe environment in peripheral spaces around children's parks in the future. It will be necessary to provide practical environmental project factors through a field investigation.

• 보건교육건강증진학회지
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• 제21권3호
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• pp.101-116
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• 2004

Korea has the highest traffic accident occurrence rate in the world. It means that we are forced to face a tremendous amount of economic loses and great cost of life. Even though this phenomenon consistently has arose as a public issue every year and many researchers have emphasized the importance of safety education as the fundamental solution, we are still trying to make a long-lasting and effective traffic safety education programs for children and adolescents. The purpose of this study was to test the effectiveness of web-based learning for traffic safety in Korea middle school. For this purpose, the instructive model was constructed based on the ASSURE model and a special web-site of education was developed on behalf of practical use of multi-media learning materials for the traffic safety. The research subject was represented by 259 students from second grade in 2 middle schools located in Seoul Korea. The traffic safety education program using web-site was preceded to the 136 students as a case group for 45 minutes total 3 times. Other 126 students are control group those who did not get with this program. The survey was conducted before and after the education. The results of this study were as follow: 1. The knowledge analysis from the comparison between before and after of the lesson showed case group and control group scored average at 11.25 points and 10.97 points. However, after they attended programs, case group scored 13.57 points and control group scored 10.85 points. The difference from the result of the case group was statistically significant(p<0.001). 2. The attitude analysis from the comparison between before and after of the lesson showed case group and control group scored averages at 29.59 points and 28.21 points. However, after they attended program, case group scored 37.23 points and control group scored 32.71 points. The difference from the result of the case group was statistically significant(p<0.05). 3. Regarding the domain analysis by means of web-based traffic safety education, only the case group had a statistically significant score in the case of knowledge 'safe utilization of bicycle' and 'The Characteristic of Automobile and Safer Mode of Walking for Pedestrian'(p<0.01, p< 0.001), and in the case of attitude 'safe walking and crossing' 'The Characteristic of Automobile and Safer Mode of Walking for Pedestrian'(p<0.01, p<0.001). 4. Web based instruction for traffic safety was effective in terms of improving students' knowledge and attitude for traffic safety.

• 융합보안논문지
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• 제13권5호
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• pp.177-186
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• 2013

우리나라에서 학교안전에 대한 사회적 우려가 본격적으로 제기된 것은 이미 오래 전의 일이다. 어린 학생을 대상으로 한 성폭력, 등하교 시 교통사고, 왕따에 의한 정신적 폭력, 금품갈취 및 폭력사건 등이 빈번하게 발생하고 있다. 이러한 학교의 안전문제가 사회적으로 크게 이슈화되는 상황에서, 안전취약지역에 위치한 학교가 학생들이 안전하게 생활할 수 있는 환경을 조성하는 일은 매우 중요하다. 본 연구에서는 전문성을 갖춘 청원경찰을 활용하여 실질적이고 체계적인 아동 성폭력 예방시스템을 구축함으로써, 학생들의 각종사고를 사전 차단할 수 있었으며, 가정, 지역사회, 유관기관과 함께하는 학교 안전에 공감대 형성을 도출하므로 학교안전강화를 위해 청원경찰제 도입은 필요하다고 할 수 있다.

• Advances in pediatric surgery
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• 제13권2호
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• pp.119-126
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• 2007

Trauma is one of the leading causes of death in children. Abdominal trauma is about 10 % of all pediatric trauma. This study describes the sex and age distribution, injury mechanism, site of intraabdominal injury, management and mortality of children aged 16 years or less who suffered abdominal trauma. The hospital records of 63 patients treated for abdominal injury between March 1997 and February 2007 at the department of surgery, Inje University Pusan Paik Hospital, were analyzed retrospectively. The peak age of incidence was between 2 and 10 years (78%) and this report showed male predominance(2.7:1). The most common mechanism of blunt abdominal trauma was pedestrian traffic accident (49%). The most common injured organ was liver. More than Grade IV injury of liver and spleen comprised of 4(12%) and 5(24%), respectively. Fourteen cases (22%) had multiple organ injuries. Forty nine cases (78%) were managed nonoperatively. Three patients (4.8%) died, who had Grade IV liver injury, Grade IV spleen injury, and liver and spleen injury with combined inferior vena cava injury, respectively. All of the three mortality cases had operative management. In conclusion, the liver or spleen injury which was more than Grade 4 might lead to mortality in spite of operation, although many cases could be improved by nonoperative management.

• 대한정형도수물리치료학회지
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• 제10권2호
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• pp.57-72
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• 2004

Background : The part to be very important that we make the physical development rightly at elementary school student days. Objective : This study investigated the relation of a physical health status which itself recognizes and an exercise performance situation out for an elementary school students. Methods : This cross-sectional study examined health and exercise performance status of 1,032 elementary school children. To examine children's a physical injury experience and injury occurrence characteristic and a personal computer utility condition, a body alignment status of the student which parents recognize and the relation of a fatigue and concentration level was an investigation with other factors. Results: An average age of the children was the 10.95 yr and an average weight was the 39.02 kg and an average height was the 145.17cm. The student to be experiencing currently an pain occurrence was 192(19.07%). It was most high to the grade 6(23.33%) compared with different grade(p<.01). Physical pain occurrence rate did not exist by gender(p>.05). There is most an pain occurrence region the ankle(38.0%). They had a 27.19% an physical injury experience of the students. A injury rate was revealed that were high as were the high grade(grade 6, 36.72%)(p<.01). A reason of the injury rate was high in a collision at the body(19.84%), falling down(18.68%) sequence at a traffic accident(22.96%)(p<.05). There were the significant relation to the school year the reason of the injury (p<.05). Currently there was the student to be taking special exercises a 57.97%. This that they have the relation with exercise with physical pain students to recognize 23.8%. The significant relation did not exist in the physical exercise execution and pain occurrence on the body(p>.05).

• 감성과학
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• 제26권2호
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• pp.129-140
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• 2023

본 연구에서는 첫째, 국제표준에서 규정한 형광직물과 재귀반사 소재에, 아동들이 선호하는 동물의 문양을 재귀반사 필름과 검정색 직물로 디자인하여 부착한, 2벌의 안전의복과 안전조끼를 제작하였다. 둘째, 야간에 주변광원이 없어도 원거리에서 생체를 인지할 수 있도록 안전의복에 스마트 포토닉 디바이스를 장착함으로써, 어린이들이 어두운 때 버튼 원터치만으로 상황에 따라 3가지 발광이 가능하도록 구현하였다. 제작한 스마트 안전의복을 마네킹에 착용시켜 주야간의 시인성을 비교한 결과, 시인성의 차이가 야간에 확연히 나타났는데, 기존의 안전의복 착용 시에는 주변광원 없이는 착용자가 표출되지 않은 반면, 스마트 안전의복 착용 시는 약 70m의 원거리에서도 표출됨을 확인하였다. 따라서 야간이나 기상악화 시에 주행하는 운전자가 원거리에서 생체를 인지할 수 있어 교통사고나 도로상의 안전사고 예방에 기여할 것으로 기대된다. 셋째, 광섬유의 발광기능 안정성 유지와 발광시간의 연장을 위하여 에너지 소진 시 태양전지로 수확한 전기에너지를 사용함으로써, 장시간 안정되게 광섬유 발광이 가능하여 시인성의 안정성을 확인할 수 있었다. 이로써 스마트 포토닉 안전의복은 야간 작업자용으로도 활용 가능함이 증명되었다. 그러므로 광섬유 안전의복은 태양전지에 의한 에너지 하베스팅 적용으로 안정적인 충전에 의해 실생활뿐만 아니라 어두운 산업현장에서도 착용 가능성이 높을 것으로 기대된다.