• Journal of Trauma and Injury
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• v.19 no.1
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• pp.74-80
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• 2006

Purpose: For prevention and suitable administration, the effect of age on the severity of injuries in traffic accidents should be considered when evaluating a patient, but there have not been enough epidemiological studies that evaluate the age factor in traffic accidents. For that reason, we investigated old-aged patients who were involved in traffic accidents (65 years old or more) and who were admitted to the emergency department of a college hospital in an urban city of Korea. Methods: We collected data from traffic-accident patients who came to the emergency room of a university hospital in Seoul from Jan.1, 2004 to Dec.31, 2005. We compared their abilities to ambulate and the RTSs (Revised trauma scores) by using a LSD (least significant difference), linear regression. Results: A total of 1460 patients were included. The mean RTS of all traffic-accident patients was $7.77{\pm}0.280$. The scores for drivers and passengers, motor-cycle drivers and passengers, bicycle drivers and passengers, and pedestrians were $7.79{\pm}0.21$, $7.78{\pm}0.22$, $7.54{\pm}0.25$, $7.77{\pm}0.20$, and $7.80{\pm}0.21$ respectively (p=0.000). There was no statistically significant difference between the RTS of patients over 65 years and that of other patients. In a regression analysis, the number of patients over 45 ages who were able to ambulate was lower than that of younger people, independently of other influencing factors (B=-0.330, R-square = 0.243, p=0.000). Conclusion: We expected that RTS of old age group more than 65 years old will significantly lower than that of others, but there was no statistically significant difference.

• Journal of Korean Society of Transportation
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• v.28 no.1
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• pp.157-163
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• 2010

It is well known that weather conditions are closely related with the number and severity of traffic accidents. At present, installation of safety countermeasures including systems is common approach to reduce the damage of traffic accidents at expressways. In this study, the differences of causation factors to influence traffic accidents considering road alignment characteristics and weather conditions. In order to identify the relationship between road and weather conditions, discriminant analysis has been performed with 500 traffic accident data at expressways. Weather conditions are divided into several categories such as snow, sunny, rain, fog, and cloud. Also, road conditions such as types of pavements, grades are analyzed. As the results, major impacting road conditions to traffic accidents are concrete pavement and 3% or more down grades. In these road conditions, visible distance will be reduced and actual braking distances will be increased. This study shows that the expressway sections under concrete pavement and down grades should be more cautious than other sections. It also shows that fog condition is the mose dangerous situation in terms of traffic accidents.

• Safety and Health at Work
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• v.13 no.3
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• pp.279-285
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• 2022

Background; In the event of an industrial accident, the appropriate choice of hospital is important for worker health and prognosis. This study investigates whether the choice of hospital by the employer in the case of industrial accidents affects the prognosis of injured employees. Methods; Data from the 2018 Panel Study of Workers' Compensation Insurance in Korea were used in an unmatched case-controlled study. The exposure variable is "hospital selection by an employer," and the outcome variable is 'worker's disability." Odds ratios (ORs) were estimated by modified Poisson regression and adjusted for age, gender, underlying disease, injury severity, and workplace size and stratified by industrial classification. The group at increased risk was analyzed and stratified by age, gender, and area. Results; In the construction industry, hospital selection by the employer was significantly associated with increased risk of disability (adjusted OR 1.26; 95% confidence interval [CI]; 1.20-1.32) and severe disability (adjusted OR 1.38; 95% CI; 1.08-1.76) among the injured. Female and younger workers not living in the Seoul capital area were more at risk of disability and severe disability than those living in the Seoul capital area. Conclusions; Hospital selection by employers affects the prognosis of workers injured in an industrial accident. For protecting workers' health and safety, workplace emergency medical systems should be improved, and the selection of appropriate hospitals to supply treatment should be reviewed.

• Knowledge Management Research
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• v.25 no.1
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• pp.217-233
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• 2024

The demand for two-wheelers has increased in recent years, driven by the growing delivery culture, which has also led to a rise in the number of two-wheelers. Although two-wheelers are economically efficient in congested traffic conditions, reckless driving and ambiguous traffic laws for two-wheelers have turned two-wheeler accidents into a significant social issue. Given the high fatality rate associated with two-wheelers, the severity and risk of two-wheeler accidents are considerable. It is, therefore, crucial to thoroughly understand the characteristics of two-wheeler accidents by analyzing their attributes. In this study, the characteristics of two-wheeled vehicle accidents were categorized using the K-prototypes algorithm, based on data from two-wheeled vehicle accidents. As a result, the accidents were divided into four clusters according to their characteristics. Each cluster showed distinct traits in terms of the roads where accidents occurred, the major laws violated, the types of accidents, and the times of accident occurrences. By tailoring enforcement methods and regulations to the specific characteristics of each type of accident, we can reduce the incidence of accidents involving two-wheelers in metropolitan areas, thereby enhancing road safety. Furthermore, by applying machine learning techniques to urban transportation and safety, this study adds to the body of related literature.

• International Journal of Fuzzy Logic and Intelligent Systems
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• v.14 no.2
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• pp.113-121
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• 2014

A subsea oil production system must be safely operated for 20-30 years after being installed. Because of the severe conditions of the subsea environment, such as extreme high pressure, low visibility, the possibility of unexpected impact by any object, and corrosion by seawater, subsea oil production systems should be monitored by subsea data logger systems and remotely operated vehicles to check for abnormal vibration and leakage to prevent a catastrophic accident. Because of the severity of subsea environmental conditions and the dominance of a few companies in the market, many people have thought that it would be difficult to develop a subsea data logger system. The primary objectives of the study described in this paper were to analyze existing subsea data logger systems to establish the requirements for a subsea data logger system, implement a prototype subsea data logger system, and conduct a test of the prototype subsea data logger system.

• Journal of Trauma and Injury
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• v.29 no.4
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• pp.146-150
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• 2016

Purpose: Traumatic aortic injuries are rare, but life threatening condition. They usually occur after high velocity impact on the chest or abdomen such as traffic accident or fall. We report the experiences of the traumatic aortic injuries at a single center. Methods: We retrospectively reviewed the medical records of nine patients with aortic injury resulting from the blunt trauma from Jan. 2010 to May. 2016. Results: The mean age was $51.1{\pm}20.8$ years old, and ten (90.9%) were men. The mechanisms of injury were traffic accidents in seven patients (motorcycle accidents; 3, car accidents; 4), and four in fall injury. Most common injured sites were thoracic aorta (9, 81.8%). Aortic injuries were repaired by endovascular approach in four patients, and by open graft surgery in four. Two patients were managed conservatively. Nine patients survived without any complications. Conclusion: We had experienced different approaches for management of aortic injuries after blunt trauma according to locations and severity of lesions.

• Journal of Trauma and Injury
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• v.28 no.3
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• pp.219-221
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• 2015

Subclavian injuries in blunt trauma are reported in less than 1% of all arterial injuries or chest related injuries. We report a female 68 yr-old patient whom has visited our emergency center due to a motorcycle traffic accident with complaints of right chest wall and shoulder pain. Her injury severity score was 22 and she was found with a comminuted clavicle fracture and subclavian artery injury. She developed delayed symptoms of pallor, pain and motor weakness with loss of pulse in her right arm. Attempts at intervention failed and thus, she underwent emergency artificial graft bypass from her subclavian artery to her brachial artery. Her postoperative course was uneventful and she is happy with the results. Although rare, a high index of suspicion for the injury must be noted and the inevitable surgical option must always be considered.

• The Journal of the Korea Contents Association
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• v.17 no.2
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• pp.258-268
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• 2017

The purpose of this research was to examine the factors affecting motivation for change of injured workers. Data from 305 injured workers were anlayzed using hierarchical regression Factors associated with injured workers' motivation for change were: multiple psychological security, acceptability of injury, and independence at personal level, family support at family level, and perceptive severity of injury, job, and return to job.

• Journal of the Korean Society of Hazard Mitigation
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• v.8 no.4
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• pp.31-38
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• 2008

Under the recent situation that there increase the efforts to facilitate DFS(driver feedback sign) in school zones and children's protection areas caused by severity of traffic impact on children, the current study aims at predictively evaluating how and to what extent the reduced car speed is influential to the reduction of traffic accidents in elementary schools located in Buchon city by analyzing the velocity variation before and after DFS installation including its reduction ratio in traffic accidents as well as related literature survey. It, furthermore, aims at identifying applicable effectiveness in DFS operation for elementary schoolers in Buchon based on the data collected.

• Journal of The Korean Society of Clinical Toxicology
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• v.9 no.2
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• pp.39-48
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• 2011

In mass casualty situation due to radiological accidents, it is important to start aggressive management with rapid triage decisions. External contamination needs immediate decontamination and internal contamination should be treated with special expertise and equipment to prevent the rapid uptake of radionuclides by target organs. Acute radiation syndrome shows a sequence of events that varies with the severity of the exposure. More severe exposures generally lead to more rapid onset of symptoms and severe clinical findings. After the massive exposure, various systems of the body reflect their severe damages that can lead to death within hours or up to several months. The disease progression has classically been divided into four stages: prodromal, latent, manifest illness, and recovery or death. Three characteristic clusters of symptoms including the hematopoietic syndrome, the gastrointestinal syndrome and the cerebrovascular syndrome are all associated with the acute radiation syndrome. The standard medical management of the patients with a potentially survivable radiation exposure includes good medical, surgical and supportive measures. Specific treatment with cytokines and bone marrow transplantation should be considered. The management of internal contamination is much the same as the treatment of poisoning. The standard decontamination should be applied to reduce uptake, and the chelating agents can be administered to enhance the clearance of radioisotopes. Radioactive iodine ($^{131}I$) as one of the nuclear fission products can increase the incidence of thyroid cancer in children. Potential benefit of potassium iodide prophylaxis is greater especially in neonates, infants and small children.