• Title/Summary/Keyword: Traffic injuries

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A Web-based Survey on Clinical Practice Patterns of Korean Medicine Treatment for Traffic Injuries (교통사고 상해증후군의 한의 임상진료 현황조사를 위한 웹기반 설문조사)

  • Park, In-Hwa;Hwang, Eui-Hyoung;Hwang, Man-suk;Heo, In;Kim, Byung-Jun;Lim, Kyeong-Tae;Shin, Byung-Cheul
    • Journal of Korean Medicine Rehabilitation
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    • v.27 no.4
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    • pp.131-145
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    • 2017
  • Objectives The purpose of this study is to understand current status of Korean Medicine treatment practice patterns for traffic injuries by web-based survey. Methods The structured questionnaire was distributed by a web based survey to 1,630 potential respondents by email from December 19th in 2016 to February 13th in 2017. All data were statistically analysed. Results The response rate was 79.4%. According to the analysis of the outcome of the survey, 88.0% of the participants felt necessity of the development of Korean medicine clinical practice guidelines (CPGs) for traffic injuries. Survey results showed cognitive degree about Korean Medicine CPGs' necessity, individual Korean medicine treatments and requirement for extending insurance coverage for patients with traffic injuries. Conclusions This survey study helps to determine current clinical practice patterns of Korea medicine treatments for traffic injuries. These results further anticipate to provide basic data for CPGs for traffic injuries.

A Study on Development of Forecasting Model for Traffic Accident in Korea (한국의 교통사고예측모형 개발에 관한 연구)

  • 이일병;임헌정
    • Journal of Korean Society of Transportation
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    • v.8 no.1
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    • pp.73-88
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    • 1990
  • This study aims to develop a traffic accident forecasting model using the data, which are based on the past accidents in Korea. The regression analysis was used in conjuction with the variables of the traffic accidents and social behaviours. The objectives of this study are as follows; 1. The number of behicles has given a strong affect to increase the traffic accidents in Korea since a factor of vehicles has shown 86% over of total accidents. 2. The forecasting model regarding the traffic accidents, deaths and injuries, which was formulated for this study, proved to be useful in light of the results of the regression diagnostics. 3. It is expected that the traffic accidents in Korea in 1991 may take place as follows on condition that the traffic environment would worsen ; 274,000 cases of accidents with 13,600 deaths and 367,000 injuries, in 1994, 451,000 cases with 24,900 deaths and 71,500 injuries respectively.

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An Epidemiological Study for Child Pedestrian Traffic Injuries that Occurred in School-zone (어린이 보호구역 내에서 발생한 6-14세 어린이들의 보행 중 교통사고에 대한 역학적 조사)

  • Shin, Min-Ho;Kweon, Sun-Seog
    • Journal of Preventive Medicine and Public Health
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    • v.38 no.2
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    • pp.163-169
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    • 2005
  • Objectives: Pedestrian traffic injuries have been an important cause of childhood mortality and morbidity for decades. The aim of this study was to describe the epidemiological characteristics of child pedestrian traffic injuries that occurred during 2000 in one metropolitan city and its school-zones, and to determine the factors associated with those accidents. Methods: A cross-sectional study was performed in 2001. Police records were used to identify the cases of pedestrian injury. Children aged between 6 and 15 years, injured during road walking, were included in this study. A direct survey of the environmental factors within the school-zones in study area (n=116) was also performed. Self-administered questionnaires, via mail and telephone surveys, were used to assess the safety education programmes. The schools were divided into two groups according to the occurrence of pedestrian traffic injuries in their school-zone. Results: Pedestrian injuries (n=597) were found to account for 3.2% of all traffic injuries in the subject area. The epidemiological characteristics were not significantly different between genders. There were some significant risk factors within the environmental factors, such as local road (OR: 2.3, 95% CI=1.05-5.35), heavy traffic volume (OR: 2.2, 95% CI=1.00-5.04), poor visibility of speed-limit signs (OR: 2.8, 95% CI=1.25-6.42), no separation of pedestrian routes from cars (OR: 2.6, 95% CI=1.02-6.75) and barriers on the pedestrian routes (OR: 2.2, 95% CI=1.01-5.08). Only one factor, that of education in a safety-park (OR: 0.3, 95% CI=0.09-0.96), was significantly associated in the traffic and pedestrian safety education factors. Conclusion: Significant associations with pedestrian injury risk were identified in some of the modifiable environmental factors than in the educational factors.

A Survey on Korean Medicine Treatment for Traffic Injuries: A Second On-line In-depth Survey (교통사고 상해 증후군의 한의 임상진료 현황 조사: 2차 온라인 심층 설문 조사)

  • Lim, Kyeong-Tae;Hwang, Eui-Hyoung;Hwang, Man-Suk;Park, In-Hwa;Park, Sun-Young;Shin, Byung-Cheul
    • Journal of Korean Medicine Rehabilitation
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    • v.28 no.4
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    • pp.89-101
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    • 2018
  • Objectives To understand current status of clinical practice patterns on Korean Medicine treatment practice of traffic injury patients by 2nd on-line survey for developing Korean Medicine treatment clinical pratice guideline (CPG) for traffic injuries. Methods A revised questionnaire about current practice patterns of Korean Medicine treatments for traffic injuries was distributed by e-mail survey to 19,385 respondents of Korean Medicine doctors from May 21th in 2018 to June 21th in 2018. All data were statistically analysed. Results The response rate was 3.5%. Most of the respondents felt necessity of the development of Korean Medicine CPG for traffic injuries. The results showed the detailed usage and trend of current Korean Medicine treatment such as acupuncture, pharmacopuncture, moxibustion, Chuna manual therapy, cupping, Korean Medicine physiotherpy for traffic injury patients. Conclusions This survey helps to determine current Korea Medicine treatments' clinical practice patterns for traffic injury patients. All data from the survey will provide basic data for future clinical studies and adaptation for the revision of Korean Medicine CPG for traffic injuries.

Surgical Treatment of Thoracic Injuries Combined with Abdominal Injuries (복부 손상을 동반한 흉부손상 환자의 외과적 치료)

  • Jeong, Seong-Un;Kim, Byeong-Jun;Lee, Seong-Gwang
    • Journal of Chest Surgery
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    • v.28 no.9
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    • pp.842-846
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    • 1995
  • Recently, the trauma patients have been markedly increasing due to the vast increase of traffic accident, industrial disaster, incidental accident and violence. The authors have analysed of 22 patients of thoracic injuries combined with abdominal injuries and summarized as follows. The ratio of male to female was 3.4:1 and their age distribution was from 5 years to 68 years and mean age was 34.4 years. The etiologies of injury were traffic accident, stab wound, fall down and violence. Associated injuries were fractures, bowel perforation, kidney rupture, head injury, liver laceration, spleen rupture and so forth. The modes of treatment were closed thoracostomy, repair of diaphragm, ruptured bowel repair, explo-thoracotomy, splenectomy, hepatic lobectomy in this order of frequency. The postoperative complications were atelectasis, wound infection, pneumonia, empyema, acute renal failure, respiratory failure and bleeding. The mortality rate was 13.6% [3/22 and the causes of death were respiratory failure 1 case, acute renal failure 1 case and hypovolemic shock 1 case.

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An Analysis of Traffic Accident Injury Severity for Elderly Driver on Goyang-Si using Structural Equation Model (구조방정식을 이용한 고령운전자 교통사고 인적 피해 심각도 분석 (고양시를 중심으로))

  • Kim, Soullam;Yun, Duk Geun
    • International Journal of Highway Engineering
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    • v.17 no.3
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    • pp.117-124
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    • 2015
  • PURPOSES : The purpose of this study is to verify traffic accident injury severity factors for elderly drivers and the relative relationship of these factors. METHODS : To verify the complicated relationship among traffic accident injury severity factors, this study employed a structural equation model (SEM). To develop the SEM structure, only the severity of human injuries was considered; moreover, the observed variables were selected through confirmatory factor analysis (CFA). The number of fatalities, serious injuries, moderate injuries, and minor injuries were selected for observed variables of severity. For latent variables, the accident situation, environment, and vehicle and driver factors were respectively defined. Seven observed variables were selected among the latent variables. RESULTS : This study showed that the vehicle and driver factor was the most influential factor for accident severity among the latent factors. For the observed variable, the type of vehicle, type of accident, and status of day or night for each latent variable were the most relative observed variables for the accident severity factor. To verify the validity of the SEM, several model fitting methods, including ${\chi}^2/df$, GFI, AGFI, CFI, and others, were applied, and the model produced meaningful results. CONCLUSIONS : Based on an analysis of results of traffic accident injury severity for elderly drivers, the vehicle and driver factor was the most influential one for injury severity. Therefore, education tailored to elderly drivers is needed to improve driving behavior of elderly driver.

A CLINICAL STUDY OF TRAUMATlC INJURIES OF ANTERIOR TEETH (전치부 외상에 대한 임상적 고찰)

  • Park, Sang-Duk
    • Restorative Dentistry and Endodontics
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    • v.7 no.1
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    • pp.33-40
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    • 1981
  • The more civilized, the more incidence had happened in our daily life, particularly in industrial factories, by traffic accident, and in sports, etc. in the dental field. The accidental trauma is usually involved the teeth and surronuding tissues. And the author intended to study of the traumatic injuries of anterior teeth by individual tooth, age, sex, cause of trauma, and how they were treated. The following results were obtained: 1. The patients with traumatic injuries of the anterior teeth were 1.8% among the total dental out-patients. 2. By the age group, the twenties was most frequent in both sexes, and the teenagers next. 3. The predominant causes of traumatic injuries in the dental field were traffic accident (23.4%), fighting (19.2%), falling (18.5%), and sports (7.3%). 4. In the classification of injuries of the teeth, uncomplicated crown fractures (31.2%), subluxations (14.7%), and the complicated crown fractures (13.2%) were presented. 5. By the individual tooth in the traumatic cases, the upper cental incisors were most frequently injuried (49.8%). 6. In the treatments fillings and endodontic treatments (33.2%), splints (13.5%), extractions (11.7%) were main after care method.

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A Study on the Analysis of Urban Highways Traffic Accident's Impact Factors Based on Building Discriminant Models - In Busan Metropolitan City - (판별모델 구축에 따른 도시고속도로의 교통사고 영향요인 분석에 관한 연구 - 부산지역 사례를 중심으로 -)

  • Jeong, Yong-Hwa;Choi, Yang-Won
    • KSCE Journal of Civil and Environmental Engineering Research
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    • v.34 no.4
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    • pp.1269-1278
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    • 2014
  • The urban highway, which is a motorway constructed to solve traffic issues, has the characteristic of extremely high damage to life during traffic accidents because the speed of vehicles is higher than typical roadways. In particular, because traffic accidents involving serious injuries hold a very important place among overall traffic accidents, analysis on factors affecting the occurrence of traffic accidents involving serious injuries must be considered with priority when establishing a reduction measure. Therefore, the study built a model that was capable of distinguishing the degree of the factors as part of microscopic analysis for investigating the complex effect of many elements concerning the occurrence of traffic accidents involving serious injuries in urban highways. The results are as follows. First, discriminant model showed a comparatively high level in overall accuracy rates, and, considering the correlation ratio, the models were determined to be valid, as all characteristics of the factors were clearly distinguished. Second, the problems of traffic accidents involving serious injuries on urban highways according to each factor, were clearly drawn out through the discriminant model. Third, the improvement measure for the problems drawn out from the discriminant models were clearly proposed.

Assessment on Development of Dental Injuries in Child and Adolescent (소아청소년의 치과손상 발생에 대한 평가)

  • Bae, Sung-Suk
    • The Journal of Korean Society for School & Community Health Education
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    • v.13 no.2
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    • pp.107-118
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    • 2012
  • Backgrounds: In order to prevent dental injuries that often occur in child and adolescent, it is intended to investigate and assess actual state of the injury development, present epidemiological background, and consider and discuss for preparing preventive means against the injury development. Purpose: It was attempted to understand major features of dental injuries developing in child and adolescent and indentify high risk factors of dental injuries in child and adolescent. Methods: In this study, 523 cases of computerized data collected as disease entities of dental injuries among 1-18 years old patient visiting S university hospital located in Seoul in 2009 were analyzed and following results were obtained. Results: It was found that the ratio of dental injuries by genders in child and adolescent was 66.14% of male and 33.86% of female. It was shown also that causes of dental injuries by ages were more in order of falling, bumping, chewing, traffic accident, sports, violence, and crash. In addition places where dental injuries occur by ages were home in less than 5 year old group, park, playground, and play yard in 6-11 year old group, park, playground, and play yard also in 12-14 year old group, and stairs, road, and outdoor places such as mountain climbing, beach, and camping in 15-18 year old group. It was found that time rages when dental injuries in child and adolescent often develop were 15-19 o'clock for falling, 15-19 o'clock for crash, 15-19 o'clock for bumping, 19-03 o'clock for violence, 15-19 o'clock for traffic accident, 15-19 o'clock for sports activity, and 15-19 o'clock for chewing. Conclusion: Background of dental injury inducing factors are very complicated and diversified, so deep study and analysis are required for its prediction. Therefore, it seems necessary to identify risk factors by phases such as before, at, and after accident, establish strategies to reduce injury development, and develop and utilize necessary programs.

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Development of Traffic Accident Forecasting Model in Pusan (부산시 교통사고예측모형의 개발)

  • 이일병;임현정
    • Journal of Korean Society of Transportation
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    • v.10 no.3
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    • pp.103-122
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    • 1992
  • The objective of this research is to develop a traffic accident forecasting model using traffic accident data in pusan from 1963 to 1991 and then to make short-term forecasts('93~'94) of traffic accidents in pusan. In this research, several forecasting models are developed. They include a multiple regression model, a time-series ARIMA model, a Logistic curve model, and a Gompertz curve model. Among them, the model which shows the most significance in forecasting accuracy is selected as the traffic accident forecasting model. The results of this research are as followings. 1. The existing model such as Smeed model which was developed for foreign countries shows only 47.8% explanation for traffic accident deaths in Korea. 2. A nonliner regression model ($R^2$=0.9432) and a Logistic curve model are appeared to be th gest forecasting models for the number of traffic accidents, and a Logistic curve model shows th most significance in predicting the accident deaths and injuries. 3. The forecasting figures of the traffic accidents in pusan are as followings: . In 1993, 31, 180 accidents are predicted to happen, and 430 persons are predicted to be deaths and 29, 680 persons are predicated to be injuries. . In 1994, 33, 710 accidents are predicted to happen, and 431.persons are predicted to be deat! and 30, 510 persons are predicted to be injuried. Therefore, preventive measures against traffic accidents are certainly required.

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