• 제목/요약/키워드: industrial injury

검색결과 400건 처리시간 0.023초

혈역학적으로 불안정한 grade V 간손상에서 시행한 응급 혈관색전술: 전산화단층 촬영 없이 시행한 응급 혈관색전술의 이점 (Emergency angioembolization performed in a hemodynamically unstable patient with grade V liver injury: The benefit of emergency angioembolization without computed tomography)

  • 강우성;박찬용
    • 한국산학기술학회논문지
    • /
    • 제20권2호
    • /
    • pp.235-239
    • /
    • 2019
  • 고도의 외상성 간손상은 높은 이환율과 사망율을 동반한다. 저자들은 혈역학적으로 불안정한 외상성 간손상 환자를 인터벤션 영상의학 전문의의 즉각적인 개입으로 빠른 혈관조영술을 시행함으로써 효과적으로 치료한 증례를 보고하고자 한다. 29세 남자가 낙하산 훈련 중 추락하여 본원 응급실을 통해 내원하였다. 초기 환자 혈압은 80/40 mmHg였고 응급 초음파 검사에서 간 열상과 주변에 혈액으로 보이는 체액이 관찰되었다. 내원 16분 후 수액 소생술을 시행에도 불구하고 혈압이 60/42 mmHg로 감소하여 전산화단층촬영을 생략하고 바로 혈관조영술을 시행하였다 (병원 도착 후 동맥 천자까지의 시간: 36분). 혈관조영술에서 우후간동맥 (right posterior hepatic artery) 출혈이 관찰되어 색전술을 시행하였다. 혈관색전술 후 환자의 혈압은 120/77 mmHg로 상승하였고, 생체징후가 안정된 후 전산화단층촬영을 시행하여 추가적인 출혈이나 내강장기의 손상이 없음을 확인하였다. 환자는 중환자실로 입원하여 보존적 치료를 시행하였으며, 내원 후 30일째 특별한 합병증 없이 퇴원하였다. 본 증례에서 혈역학적으로 불안정한 고도의 간손상 환자에서 전산화단층촬영을 생략하고 매우 빠르게 혈관조영술 및 색전술을 시행하여 안전하고 효과적으로 치료할 수 있었다.

PL 대응책에 대한 고찰 (PL PREVENTION PROGRAM FOR EXPORT INDUSTRIES)

  • 황의철
    • 산업경영시스템학회지
    • /
    • 제9권14호
    • /
    • pp.35-43
    • /
    • 1986
  • PL(product liability) is a major social, market, and economic force. The legal obligation of manufacturers and sellers to compensate for injury or damage caused by defective products is not a recent phenomenon. The concept of Product liability has been in existence for many years, but its emphasis has changed recently. This PL prevention program has shown that the two area of product quality assurance one is a PLD(product liability defense) and the other is a PLP(product liability prevention.

  • PDF

안전보건환경 경영시스템에 관한 연구 (- A study for the safety, health, environment management system -)

  • 박윤규;강경식
    • 대한안전경영과학회지
    • /
    • 제5권2호
    • /
    • pp.1-10
    • /
    • 2003
  • The discussion for the structure of the intergrated management system(IMS) isbeing made process vigorously in the time of industrial standard in this study. Therefore, safety, health, environment management system was compared, the management method was found, and task standard and object were selected. The structure of database will be possible to prevent industrial injury and environment pollution prevention.

Severity of grinder injuries and related factors compared with other high-rotation cutting tool injuries: a multicenter retrospective study from 2011 to 2018

  • Juni Song;Yang Bin Jeon;Jae Ho Jang;Jin Seong Cho;Jae Yeon Choi;Woo Sung Choi
    • Journal of Trauma and Injury
    • /
    • 제36권1호
    • /
    • pp.32-38
    • /
    • 2023
  • Purpose: This study aimed to identify the characteristics of patients injured by high-rotation cutting tools and the factors related to the severity of their injuries. Methods: Adult patients (≥18 years), who presented to the emergency department (ED) after a high-rotation cutting tool injury and who were registered in the Korean Emergency Department-based Injury In-Depth Surveillance (2011-2018) database, were included. Patients' demographic characteristics, injury-related factors, and Injury Severity Scores were collected. All included cases were categorized into two groups according to the tool that caused the injury: grinder versus nongrinder. The characteristics of the two groups were compared, and the factors associated with the severity of injuries were investigated. Results: Among 8,697 ED visits, 4,603 patients had been using a grinder and 4,094 had been using a nongrinder tool. The most frequently injured body part while using a grinder was the hand (46.4%), followed by the head (23.0%). While using a nongrinder tool, the most frequently injured body part was also the hand (64.0%), followed by the lower leg (11.4%). The odds of a severe injury were affected by patient age (odds ratio [OR], 1.024; 95% confidence interval [CI], 1.020-1.028) and using a grinder (OR, 2.073; 95% CI, 1.877-2.290). The odds of a severe injury using a grinder were higher in arm injuries (OR, 1.60; 95% CI, 1.40-1.83) and multiple-part injuries (OR, 1.998; 95% CI, 1.639-2.437). The odds of a severe injury using a grinder were lower for head injuries (OR, 0.481; 95% CI, 0.297-0.781). Conclusions: Injuries from grinders were more likely to affect the head and neck than nongrinder injuries, despite the lower severity. The current lack of regulations on grinders in occupational safety and health standards warrants relevant legislation and the development of applicable safety equipment.

大氣汚染地域 適應 樹種 選拔에 關한 硏究 (A Study on the Selection of Adaptable Tree in Air Pollution Area)

  • 朴晥澈
    • 한국대기환경학회지
    • /
    • 제7권1호
    • /
    • pp.55-65
    • /
    • 1991
  • The study was performed to select a adaptable tree species under stressed field conditions where there are a industrial plants operating with a number of smoke stacks emitting pollutants, such as hydrogen fluoride and sulfur dioxide. As a result of the study, a tree species selected are due to construct a forest belt in a zones near industrial plants to reduce the concentrations of air pollutants. The concentrations of atmospheric hydrogen fluoride and sulfur dioxide were very higher at experimental sites near industrial plants (air-pollution sites) than at control site. The leaves of 7 tree species grown at air pollution sites contained more sulfur and, specially, fluorine than at those control site. Among the tested tree species, Ligustrum japonicum Thunb. and Euonymus japonica Thunb. grown at air pollution sites did not at all break out a foliar injury but appeared to be healthy, as well as those grown at control site. Acer pseudo-sieboldianum Kom., Pinus virginiana Mill., Larix leptolepis Gordon., Pinus koraiensis Sieb. et Zucc., Pinus strobus L., Picea abies Karst and Ligustrum obtusifolium Sieb. et Zucc., however, showed a severe fluoride-type foliar injury such as necrosis on tip or margin of leaves, etc. Fluorine found in leaves was proved to be correlated to sulfur found in leaves whereas index of foliar injury hadn't a good correlation to pollutants found in leaves. It appears that Euonymus japonica Thunb., Ligustrum japonica Thunb., Platanus acerifolia Willd, Chamaecyparis pisifera Endl., Populus tomentiglandulosa T. Lee and Sophora japonica L. grown at both experimental sites had a high value of percent survival whereas Pinus virginiana Mill., Pinus koraiensis Sib. et Zucc., Koelreuteria paniculata Laxm. and Alnus hirsuta Rupr. had an extremely low value of that. In comparison with control site, the percent tree height increments in Chamaecyparis pisifera Endl., Ligustrum japonicum Thunb., Quercus acutissima Carruth., Populus tomentiglandulosa T. Lee, Pinus thunbergii Parl and Euonymus japonica Thunb. and the percent upmost root diameters in Populus tomentiglandulosa T. Lee, Chamaecyparis pisifera Endl., Euonymus japonica Thunb., Ligustrum japonicum Thunb., Betula platyphylla var. japonica Hara and Pinus thunbergii Parl. cultivated at air polluted sites showed very high value above 90%, respectively. A significant negative correlation (r=-0.662) was recognized between the index of foliage injury and the percent collective character, which was the mean of tree characters such as percent survival, percent tree height increment and percent upmost root diameter increment which compared to those at air polluted site with those at control site. Based on the percent collective character Ligustrum japonicum Thunb., Euonymus japonica Thunb., Chamaecyparis pisifera Endl., Populus tomentiglandlosa T. Lee, Betula platyphyla var. japonica Hara and Platanus occidentalis L. have large value about 90%, respectively. Therefore, the results indicate that this tree species are adaptable species in air polluted regions. For better understanding of the adaptable tree species, furthur studies concerning the effects of various air pollutants on the tree growth are required.

  • PDF

산업재해 장해자의 합리적 복지 방안에 대한 연구 (A Study on Welfare Plan of industrial disaster victims)

  • 김병석
    • 대한안전경영과학회지
    • /
    • 제15권4호
    • /
    • pp.1-5
    • /
    • 2013
  • Employee suffered by industrial accident will face more economically disadvantaged and mentally tough life than life of employee before industrial disaster. however, in this study, we will study for welfare and reasonable compensation about how a country or society helps disaster victims in the industry put a little more unhappy because of the disaster of the injustice. I am to look into the rational compensation and welfare of the industrial accident disabled in terms of linking and expanding into social corporation and preparing policies of selecting major companies and prizing policies that can help the disabled if not in direct and monetary ways.

산업현장 사다리 관련 사망재해 분석 및 추락재해 예방대책에 관한 연구 (A Study on the Death Accident Analysis of Ladder and Prevention Measures for Fall Accidents)

  • 심현황;강경식
    • 대한안전경영과학회지
    • /
    • 제19권4호
    • /
    • pp.95-104
    • /
    • 2017
  • Among the industrial disasters caused by drop, ladder related drop disasters are occurred the mostly. The victims are occurred continuously. This study analyzed current situation of industrial disasters for recent 10 years(2005~2014) and compared analyzed statistics of death disasters of ladder by workplace scale, age, occupation, employment type, working content, scarred area, etc. in detail. This study suggested direction of safety standard modification for ladder that is an original cause material of many drops, direction of safety training strengthening of small-scaled workplace, and safety model based on disaster statistics and should contribute to reduction of disaster rate for ladder working.

초기 대응자에 따른 수지 손상 환자의 병원 전 단계 응급처치 실태와 만족도 (Survey on Prehospital Services for Acute Traumatic Hand Injury and Patient Satisfaction)

  • 윤순영;김민숙;오경옥;정지영;전명희;엄동춘
    • 한국간호교육학회지
    • /
    • 제15권2호
    • /
    • pp.274-284
    • /
    • 2009
  • Purpose: This study surveyed how victims with acute traumatic hand injuries received pre-hospital care and how satisfied they were with that care. Method: A total of 100 adults were interviewed using a questionnaire at one microsurgical clinic in Korea. Results: Only 12 patients (12.0%) were transported by the ambulance and the others by private or company's vehicles. Only 9 patients (9.0 %) were able to get appropriate first response from the EMTs or industrial health providers at the scene of the accidents. The mean time required for transportation from the scene of the accident to the operation room of the microsurgical clinic was $372.65{\pm}719.17$ minutes. Most of the patients were satisfied with the pre-hospital care provided by the EMT or industrial health providers but dissatisfied with that provided by lay persons. Conclusion: This study demonstrates that there is a lack in the first response provided at the scene and the activation of EMS (Emergency Medical System) for acute hand injury. It is necessary to educate the public about the appropriate first response and rapid transportation to the appropriate microsurgical clinic.

뇌허혈성 부위의 조직학적 특성을 통한 임상적 영향 (Clinical Effect through Histological Characteristics of Focal Ischemia Region)

  • 이태훈
    • 산업융합연구
    • /
    • 제17권4호
    • /
    • pp.39-43
    • /
    • 2019
  • 마우스 배아 줄기 세포는 신경 세포 분화가 가능한 세포의 대안적인 공급원이 될 수 있으며 잠재적으로 신경계 질환의 치료에 유용하게 사용될 수있다. 우리는 배아 줄기 세포 (ESCs)가 신경 분화를 유도하도록 유도 될 수 있는지를 조사했다. 신경 세포 유도 후, mESC의 표현형이 뉴런의 형태학으로 변하였고, mESCs는 실험쥐 뇌의 측 뇌실로 주입되었다. 이식 된 세포는 뇌의 여러 부위로 이동하였고 중대뇌동맥 결찰에 의한 허혈성 뇌혈관 손상부위에 이식된 줄기세포군이 손상된 피질부위로 집중적으로 이동하여 손상복구 기전을 증가시켰다. mESCs의 뇌내 이식은 MCAO 쥐의 기능적 결손의 감각 및 운동 회복을 유의 적으로 향상시킨다. 이러한 데이터는 이식 된 mESC가 허혈성 미세 환경에서 생존, 이동 및 분화하고 쥐에서 뇌졸중 후 신경 기능 회복을 향상 시킨다는 것을 나타낸다. 따라서 우리는 mESC의 이식이 인간 신경계 손상 및 퇴행성 장애에 대한 강력한 이식 치료법을 제공 할 것으로 기대한다.

채혈바늘에 의한 2차 감염 방지기능을 갖는 랜싯과 전동식 채혈기의 개발 (Development of the Electric Lancing Device and the Lancet to Prevent the Secondary Contamination by Needlestick Injury)

  • 홍성철;장석진;강신한
    • 한국산학기술학회논문지
    • /
    • 제12권12호
    • /
    • pp.5464-5468
    • /
    • 2011
  • 본 연구는 채혈바늘에 의해 발생하는 2차 감염을 방지하기 위한 안전 랜싯(Lancet)을 설계 개발하고, 연속하여 채혈하는 경우에 쉽게 그리고 편리하게 사용할 수 있도록 무선 전동방식 채혈기의 설계 제작을 목적으로 한다. 안전랜싯은 채혈침과 보호캡이 일체형으로 설계되어 채혈 순간을 제외하고는 채혈침이 항상 보호캡 속에 있도록 하여 채혈바늘에 의한 사고를 방지하도록 하였다. 전동 채혈기는 충전건전지를 전원으로 하고 솔레노이드의 작동으로 랜싯을 타격하여 채혈하도록 설계되었으며, 연발타격 또는 단발타격의 기능을 선택하도록 설계 제작되었다. 또한 타격봉에 의한 충격력과 사용된 배터리의 수명 등이 측정되었다. 이 채혈기는 한방병의원의 사혈기로도 사용되도록 제작되었다.