• Journal of Korean Neurosurgical Society
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• 제29권3호
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• pp.420-425
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• 2000

Epidural steroid injection(ESI) has been a commonly applied conservative therapy for the management of chronic low back pain and sciatica. However, there are many reports concerning various local, systemic and neurological complications related to ESI. We report two cases with fatal complications after ESI for low back pain and sciatica. In both patients, ventriculitis and meningitis were causative factors to be fatal. Aseptic procedures and careful post-procedure assessment are essential to avoid serious complications following ESI.

• 대한안전경영과학회지
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• 제18권1호
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• pp.9-15
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• 2016

In this study, the current regulations to be adequate in industrial site have to be renew in order to prevent the fatal injuries by mobile cranes. Fatal injury analyses were conducted with several accident cases by the mobile cranes. For each accident, the causes of the injuries were examined and proper safety measures were proposed. This study proposed a revision of the standard guideline as an accident prevention measures through in-depth analysis of fatal accidents. First, fatality rate per 10,000 persons by the mobiles cranes was 0.57 in 2011. Second, the in-depth analysis of the mobile crane accidents showed that the main factors of the accidents were the overturn of mobile crane, the fracture of connection part between mobile crane boom and rope, the breaking of rope and the misunderstanding over the signal between a mobile crane driver and workers around a mobile crane. Third, the order of high defection of connecting parts was bucket bolt, bracket and extension parts. Fourth, since there were several cases of overturn of mobile crane by itself in the in-depth analysis of the mobile crane, the over slop-proof device was proposed as the main alternative in this study. Fifth, the revision of standards of safety factor that shall be more than 10, of connecting parts of mobile crane was proposed.

• 한국건설관리학회논문집
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• 제21권3호
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• pp.11-19
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• 2020

건설업에서의 재해는 수십 년 동안 다른 산업보다 많이 발생하였기 때문에, 건설업에서의 재해는 반드시 줄여야 한다. 이러한 문제를 해결하기 위해서 작업분류체계(WBS) 및 위험분류체계(RBS)를 제시하였다. WBS와 RBS는 계층적 구조로 작업 및 위험 단위를 쉽고, 빠르게 찾을 수 있다. 그래서 본 연구에서는 건설업에서의 재해를 예방하기 위해 통합 WBS-RBS 프레임워크를 개발하고자 한다. 연구의 순서 다음과 같은 3단계로 진행되었다. ① 데이터 수집 ② 데이터 분류 ③ 통합 WBS-RBS 프레임워크 개발 순으로 진행되었다. 연구의 결과 가장 사고가 많이 발생한 건물용도, 건설공종 및 재해요인을 제시할 수 있었다. 연구 결과를 통해 의사결정자는 건물용도, 건설공종, 및 재해요인의 위험 수준을 고려할 수 있다.

• 한국건축시공학회지
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• 제7권3호
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• pp.115-122
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• 2007

As buildings become higher, larger, and more complex, safety issues for construction workers working at such environments become more important. We analyzed 83 critical accident cases reported to the KOSHA(Korea Occupational Safety & Health Agency) for construction cranes by types of cranes and by patterns of accidents and causes. There are more number of accidents related to mobile cranes than that related to tower cranes, but the numbers of dead were similar in both cases. The most dominant cause of crane accidents was "fall of materials". We also analyzed the cases of crane accidents using the FMEA(Failure Mode and Effect Analysis) in order to set up a priority for safety management and also to prioritize research and development items relating tower cranes. In the process, we tried to eliminate subjective indexes such as an expert group survey and use objective and quantitative indexes. As a result, it was found that critical crane accidents occurs most during the "lifting and translating" activity.

• Journal of Chest Surgery
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• 제26권11호
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• pp.861-865
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• 1993

The lung cancer in patients under 40 years old is rare and reported to be more rapidly fatal than in older persons. We reviewed the records of 18 cases who younger than 40 years with histologically proven lung cancer between 1959 and 1992 at department of Thoracic Surgery in National Medical Center. There were 12 male and 6 female patients. Two male and all female patients had never smoked. The 17 cases had respiratory symptoms for a mean duration of 3 months. The squamous carcinoma was found in 7 cases[38.9%], small cell carcinoma in 4 cases[22.2%], mixed cell carcinoma in 4 cases[22.2%], adenocarcinoma in 2 cases[11.1%] and bronchoalveolar cell carcinoma in 1 case. Among the 6 resected tumors, one case was stage I, two cases were stage II and three cases were stage IIIa. The operation was considered complete and curative in 6 patients and noncurative in 6 pations because of an exploratory thoracotomy. We conclude that lung cancer in young persons is virulent and that diagnosis is frequently delayed.

• Journal of Chest Surgery
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• 제33권5호
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• pp.422-427
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• 2000

Confusion of a patent ductus arteriosus (PDA) for the descending thoracic aorta is a fatal error occurring occasionally in infants or neonates. As a result, the left pulmonary artery (LPA) may be misconceived as the PDA, and ligated. This surgical mishap of other hospital leads to serious congestive heart failure and loss of left lung function due to the underdevelopment in the peripheral vascular and alveolar structures in neonates and premature infants. In this report, 3 cases of LPA ligation and subsequent treatment are presented.

• Journal of Chest Surgery
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• 제28권5호
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• pp.510-512
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• 1995

Reexpansion pulmonary edema following treatment of pneumothorax and pleural effusion is a rare complication. However, because of possibility of its fatal outcome, physicians must be aware of this complication and every effort must be made to prevent its occurrence. We experienced 5 cases of reexpansion of pulmonary edema. One was complete tension pneumothorax and became death despite of intensive management. Remained four were 3 pneumothoraces and 1 pleural effusion and discharged without event, fortunately.

• 한국심리학회지 : 문화 및 사회문제
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• 제16권1호
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• pp.1-18
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• 2010

본 연구에서는 보행자 교통사고 조사자료 분석을 통해 고령보행자 사고가 가지는 특성을 알아보고, 증가추세에 있는 고령보행자 사망사고를 감소시킬 수 있는 방안을 모색하고자 하였다. 2005년부터 2008년까지 4년 동안 전국에서 발생한 보행자 사망사고 가운데 65세 이상 고령보행자가 피해를 입은 3,853건과 비교군 사고로 20세에서 44세 사이의 보행자 피해사건 1,786건의 특성을 비교하였다. 이들 두 집단의 사고특성을 각 항목별 점유율로 비교한 결과, 고령자의 사고는 대도시보다는 규모가 더 작은 지역에서 가을철에 특히 많이 발생하는 것으로 나타났으며, 고령보행자가 더 안전한 환경에서 보행행동을 하고자 하는 보상행동을 보이지만 실제로는 교통사고에 더 취약한 것으로 나타났다. 고령보행자는 청년기 보행자들에 비하여 도로횡단을 하는데 취약점을 드러내고 있었으며 특히 단순한 구조보다는 복잡한 도로구조에서 더 사고를 많이 겪는 것으로 확인되었다. 또한 차량과의 상충상황에 있어서는 좌우 방향으로 회전중인 차량이나 후진중인 차량에 상대적으로 더 위험을 겪고 있는 것으로 확인되었다. 이와 같은 고령보행자 사고의 특성은 고령자들의 연령증가에 따른 신체적·정신적 능력의 손실과 확신수준의 저하와 같은 심리적 상태에 의해 설명될 수 있다.

• Journal of Chest Surgery
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• 제20권3호
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• pp.557-564
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• 1987

From September 1980 to July 1986, 135 cases of cardiac valve surgery were performed under the cardiopulmonary bypass. Out of 135 cases, single valve surgery was 114 cases including open mitral commissurotomy 17, mitral annuloplasty 2, mitral valve replacement 85, and aortic valve replacement 10 and double valve surgery was 21 cases. There were 68 males and 67 females ranging from 9 to 57 years of age. Early death within 30 days after operation was 17 cases [12.6%] and caused of death were ventricular arrhythmia 5, low cardiac output syndrome 4, excessive bleeding 3, pulmonary complication 2, and so on. Among 118 early survivors, 5 cases [5.1%] of late death were developed over a period of 2 to 72 months, and main cause of death was fatal bleeding complication associated with anticoagulation therapy. Symptomatically, 91.8% of patients were in NYHA functional class I or II at the end of the follow-up.

• 대한기관식도과학회:학술대회논문집
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• 대한기관식도과학회 1982년도 제16차 학술대회연제순서 및 초록
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• pp.8.3-8
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• 1982

과거 5 년간 (1977∼1981) 서울대학교병원 이비인후과에서 경험한 72예의 기관 및 기관지이물환자의 합병증에 대한 임상분석을 실시하였다. 합병증은 58예 (80.6%)에서 발생되었다. 24예(33%)에서는 한가지 이상의 합병증이 있었으며, 22예는 폐기종. 5예에서 무기폐, 1예에서 폐염이 발생되었고. 4예는 사망하였다. 저자들은 합병증의 분석결과와 함께 이를 일으키는 요인 및 처치에 대하여 문헌고찰과 함께 보고하는 바이다.