• Journal of Chest Surgery
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• v.7 no.1
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• pp.23-30
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• 1974

During the 35 month period from November 1966 to November 1967 and from June 1971 to March 1973 I had experienced 127 cases of non fatal wounds of chest in Viet-Nam. .Among these 127 cases, 62[45.4%] were gun shot wounds, 49[35.8%] were shrapnel wounds and the other were traffic accident. stab wounds and miscellanous. Approximately 21% of gun shot wound were perforating and 79% were penetrating but all cases of shrapnel wounds were penetrating. Of these 127 cases. 90% evacuated to hospital within 6 hours and average time 2.5 hours. The tranfusion requirement of these cases ranged from zero to 36 pints of whole blood with an average of 2.600cc. Initial intrathoracic findings were hemopneumothorax and hemothorax mostly. and the incidence of open thoracotomy was 9.5%[12cases] and closed thoracotomy was 82.8%[104cases], which were contrast to the reports from Korean conflict. I had experienced 24 cases with complication, such as large hematoma in lung parenchyme[8 cases], atelectasis[4 cases], pyothorax [3 cases], pneumonia [3 cases], fibrothorax [3 cases], pleural effusion [2 cases] and wound infection [2 cases]. Mortality rate for entire group was 4.7% but the cases associated with brain injury was 100%, with spinal cord injury was 50%, with large vessel 50%, and abdominal injury was 33.3%, and nobody died solely of thoracic injury.

• Journal of the Korean Society of Safety
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• v.29 no.5
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• pp.166-171
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• 2014

This study is conducted to compare three methods of hazard analyses and to propose the control for the accidents arising under construction of heat accumulator of group energy projects(co-generation plants). The analysis of fatal accidents and the Analytic Hierarchical Process(AHP) using by the questionnaire survey for the workers engaged in the construction of heat accumulator and the quantitative questionnaire survey of expert group has been carried out. In order to analyze the fatal accidents, the 115 cases of accidents from 2001 to 2012 published by Korean Occupational Safety and Health Agency(KOSHA) and workers suffered from industrial accidents are collected and analyzed. The AHP is applied and analyzed for 66 persons of the construction site managers, safety engineers and construction engineers and the questionnaire survey of expert group is carried out and analyzed for the 51 persons of contractors and construction inspectors. The analyses of the types of accidents and the jobs of the suffered workers and the hazardous construction processes which are occurred accidents frequently are shown. The results of the analysis of fatal accidents and the AHP as well as the questionnaire of expert group are shown similar results.

• Journal of the Korea Institute of Building Construction
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• v.22 no.4
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• pp.415-423
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• 2022

As human factors are the most important cause of construction accidents, it is important to reduce human error in construction work to reduce accidents. However, the error forcing context in organizational situations acts as a factor behind human error. Therefore, fatal construction accidents were analyzed using the m-SHEL model, which can identify the factors behind human errors. Through such analysis, it was found that there are differences in the detailed factors behind human errors according to the type of fatal accidents in construction, This study is meaningful in that it confirmed through accident cases that it is important to understand and respond to organizational situations in order to reduce human error in construction work.

• Journal of Chest Surgery
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• v.24 no.1
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• pp.26-35
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• 1991

From January 1984 to June 1990, 188 patients have undergone cardiac valve replacement [114 MVR, 27 AVR, 47 Multiple valve replacement] with the St. Jude Medical prosthesis. The early mortality rate was 6.9%. The most common cause of early death was low output syndrome. There were no cases of valve-related early death. The risk factors for early death were advanced preoperative NYHA functional class [> IV], and prolonged ECC and ACC time. The 175 early survivors were followed-up for a total 372.7 patient-year over a period of 2 to 74 months [Mean $\pm$SD: 25.6$\pm$18.6 months]. During follow up, 12 patient died and late mortality rate was 6.9%. There were three valve-related late deaths: two were due to valve thrombosis and one was due to hemorrhage. Most late deaths [58%, 7/12] were from cardiac non-valvular causes. Valve-related complications occurred at a linearlized rate of 3.5% /pt-yr. Embolism occurred at a rate of 0.8% /pt-yr. There were three cases of valve thrombosis [0.8% /pt-yr: two fatal]. Hemorrhage due to anticoagulant occurred in 5 patients and a rate of 1.3% pt-yr [one fatal]. Five-year actuarial survival rate was 86.5 $\pm$5.1% and 97% of patient were in NYHA functional class I or II at three months postoperatively.

• Journal of Preventive Medicine and Public Health
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• v.22 no.4 s.28
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• pp.454-465
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• 1989

In a small island community with a population of less than 100 residents, nine persons died and five experienced severe illnesses during the period from November 1986 to May 1988. Their initial symptoms were sore throat and fever. Renal failure and hepatitis developed within one week after the onset. Oral mucosal ulcer developed in some cases. After one week, progressive respiratory failure and dyspnea developed evidently and severe respiratory distress and hypoxia preceded those fatal cases. Chest X-ray findings revealed bilateral diffuse multiple cystic lesion with occasional multiple large emphysematous bullae. Based on these features paraquat poisoning was diagnosed and route of poisoning was investigated. In three sources of drinking water, trace amount of paraquat was detected in November 1988, six months after the incidence of recent fatal case. In November 1988, soybean sauces and soybean pastes from 12 households were found contaminated with high concentration of paraquat, the cause could not be identified. The possibility of the contamination of drinking water as the cause of this mass poisoning has been suggested.

• Environmental Analysis Health and Toxicology
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• v.11 no.3_4
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• pp.17-22
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• 1996

To elucidate the fatal blood concentration of paraquat (Gramoxone), a contact herbicide, we investigated blood concentration of paraquat in 91 cases of paraquat intoxication. The blood paraquat concentration of 91 cases due to ingestion of paraquat was 0.9 $\mu$g/ml-1023.5$\mu$g/ml and has been subdivided according to survival time. 48 of 91 cases were identified survival time. In 34 of 48 cases died within a day after ingestion of paraquat, blood paraquat concentration was ranged from 2.3-636.61$\mu$g/ml, and in 12 of 48 cases died 1-4 days after ingestion of paraquat, blood paraquat concentration was ranged from 0.9- 25.1 $\mu$g/ml.

• Korean Journal of Construction Engineering and Management
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• v.21 no.4
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• pp.90-99
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• 2020

The construction industry is suffering from a large number of fatal accidents. As many field works are being conducted in a dangerous condition such as working at height and adverse weather, they are always exposed to safety accidents with high frequency and severity compared to other industries. Such risk is even larger in small construction sites, but studies that focus on combinatorial factors leading to fatal accidents in small construction sites are lacking. Thus, in order to reduce the fatal accidents in the construction industry, this study analyzed 1,438 occupational death accidents cases in small construction sites and, then, conducted the association rule analysis to extract ten combinatorial factors that frequently led to fatal accidents in small construction sites. Based on the extracted association rules, this study also discussed possible countermeasures to reduce the fatal accidents. The results were explained to experts, who agreed on the results of the study. This study contributes to the construction safety management theory by providing a detailed analysis of fatal accidents in small construction sites that can be used for developing and deploying safety policies and educations for small construction site workers.

• Journal of Chest Surgery
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• v.26 no.9
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• pp.696-700
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• 1993

Pulmonary aspergillosis is relatively rare disease, most commonly presenting pre-existing cavitary disease. This investigation is designed to illustrate the clinical features, preoperative diagnosis and surgical role in the management of this disease. In retrospective review of opeative cases since Jan. 1988, total 16 cases were analysis. Peak incidence of age lies in the 3rd & 5th decade[81.3%].The common presenting symptoms were hemoptysis & blood tinged sputum[90.9%] & all cases had a history of treatment with antituberculous drugs, but the tuberculosis was revealed in only 3 cases in the pathologic studies on specimen after resection. The locations of lesion were upper lobes in 13 cases, lower lobe in 2 cases, and left whole lobe in 1 case. The operative procedures for treatment of aspergillosis were performed. The lobectomy was performed in 7 cases, lobectomy & segmentectomy in 2 cases, lobectomy & decortication in 2 cases, segmentectomy in 3 cases, bilobectomy & segmentectomy in 1 case and pneumonectomy in 1 case. There was one death due to respiratory insufficiency 21 days later,postoperatively, and empyemas & residual space problems were developed in 2 & 3 cases,respectively. The empyemas were treated with open thoracostomy and the dead spaces was filled with granulation tissues within 6 months. During follow up, there was no recurrence. In conclusion, surgical resection is the treatment of choice for symptomatic aspergillosis and needed in asymptomatic patient to prevent possible fatal sequelae in the future.

• Tuberculosis and Respiratory Diseases
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• v.74 no.2
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• pp.79-81
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• 2013

Few recent reports have indicated that Mycobacterium massiliense causes various infections including respiratory infection. However, there is scarce information on the clinical significance, natural history of the infection, and therapeutic strategy. This report describes a case of an immunocompetent old man infected by M. massiliense that causes acute respiratory failure. In light of the general courses of non-tuberculous mycobacterium infections, rapid progression and fatality are very rare and odd. In addition, we discuss the biological and pathological properties of M. massiliense with the review of cases reported previously including our fatal one.

• Journal of Oral Medicine and Pain
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• v.45 no.3
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• pp.79-82
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• 2020

Tetanus is a fatal disease caused by the infection Clostridium tetani found in animal feces and soil. It is a vaccine-preventable disease and rarely occurs in developed countries. However, approximately 30 cases still occur annually in South Korea. Tetanus, commonly called lockjaw, cause contraction of the masseter muscles in the early stage, resulting in trismus as the first symptom. As it progresses, spasm extends to various muscles in the face, neck, shoulder, and back, leading to distorted facial expression, dysphagia, backward arching of the body, dyspnea, and even death. Early diagnosis of tetanus is critical because it can quickly become fatal if left untreated. We present a case of trismus caused by tetanus and emphasize the importance of early diagnosis of acute trismus.