• 디지털융복합연구
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• 제11권4호
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• pp.415-430
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• 2013

본 연구는 태권도 도장에서 수련하고 있는 수련생들을 대상으로 연습과 경기 중에 입었던 부상에 대한 실태 조사 및 분석을 통하여 태권도 수련생 및 태권도 지도자들에게 상해예방을 위한 기초자료를 제공함으로써 태권도 수련 시에 빈번하게 발생하는 상해발생률을 확인하여 보다 안전한 수련을 도모함으로써 태권도 수련의 목표를 보다 향상시키는데 그 목적을 두었다. 연구의 대상은 충청남도 지방의 체육관 태권도 선수 413명의 설문 조사를 통하여 결과를 도출하였다. 조사결과 태권도 선수들의 성별, 학년에 관계없이 부상이 반복적으로 발생한 것을 알수 있었다. 따라서 부상을 방지하고자 선수뿐 아니라 지도자의 주의와 적절한 조치가 있어야 하겠다. 또한 부상 예방에 대한 철저한 사전 교육과 신속한 응급처치와 적절한 후속 조치가 이루어 질수 있는 환경이 조성되어야 하겠다. 이는 선수의 건강 뿐만 아니라 경기력 향상에도 기여할 것으로 예상된다.

• Journal of Korean Biological Nursing Science
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• 제18권2호
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• pp.102-109
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• 2016

Purpose: The purpose of this study was to describe sports injuries among elderly people and to compare physical activity, perceived health status and exercise self-efficacy between elderly people who had experienced a sports injury and elderly people who hadn't. Methods: The sample of this study were 100 elderly in Korea, 51 of whom had had a sports injury. The study used questionnaires to gather data. There were 8 demographic factors, 4 factors related to physical activity, perceived health status and exercise self-efficacy of the subjects. Data were analyzed by frequencies, chi-square test, and t-test. Result: Among the sports injured elders, one occurrence of a sport injury was 86.3%. There were more outdoor than indoor sports injuries of elders (66.7%), and sports injuries of elders occurred more in the winter (82.7%). The major cause of the sports injuries was loss of balance. Ankles were frequently damaged from these injuries. The most significant change after the sports injury was reduction of physical activity (60.8%). There were significant differences between sports injured elderly and non-injured elderly for age (${\chi}^2=2.58$, p=.011) and the amount of physical activity (t=1.96, p=.050), but there was no significant difference in perceived health status and exercise self-efficacy. Conclusion: To prevent sports injuries in the elderly means to maintain a medium level of physical activity and to improve their balance.

• 대한인간공학회지
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• 제34권5호
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• pp.519-529
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• 2015

Objective: This study aims to analyze the characteristics of occupational accidents and injuries of telecommunications line and cable workers by type of workplace and operational process of cabling service and to provide baseline data in establishing the preventive policies for occupational accidents and injuries. Background: In order to set up the preventive policies for occupational injuries and illness systematically, the accident analysis by industry should be preceded. To establish more effective policies, it should be done by occupation for persons who work in various kinds of occupation rather than by industry for persons who do in the same occupation. Method: In this study, the 176 occupational accidents and injuries were classified by type of workplace - indoor (inside building) and outdoor (at the top of utility pole, in a manhole, or in the fields) - and also done by operational process involved at the time of the accident. By analyzing the characteristics of occupational injuries and illness by type of workplace and operational process, respectively, this study can be helpful in establishing the preventative policies for occupational accidents and injuries. Results: The characteristics of occupational accidents and injuries by type of workplace showed that there were differences in terms of accident rate between indoor and outdoor on age of the injured, while not on employment-size and work experience of the injured. In addition, the characteristics on accident type, agency of accident, parts of body affected, and operational process between indoor and outdoor workplaces were statistically different each other. Conclusion and Application: The findings of occupational accidents' characteristics can be applied to the establishment of systematic preventative policies for occupational accidents of telecommunications line/equipment workers.

• 대한정형외과스포츠의학회지
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• 제5권2호
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• pp.135-140
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• 2006

목적: 시즌이 있는 축구 운동에서 선수들의 가장 부상이 많은 시기와 그 부상의 유형을 알아보고 경기 관련 질환 발생을 미리 예견, 파악하여 적절한 예방책을 제시하고 향후 팀의 운영에 참고 자료를 제시 하고자 한다. 대상 및 방법: 서울의 모 프로 측구 팀(45명)을 대상으로 2005년 1월 15일부터 2005년 11월 9일까지 부상에 대한 통계를 내고, 월별 부상 빈도와 부상 유형을 살펴보았다. 결과: 총 157건의 부상이 발생했고, 훈련에 잠가하지 못할 정도의 부상은 87건 이었다. 월별 심각한 부상 건수는 3월에 16건 (18.4%)으로 가장 높게 나타났으며, 전, 후기 축구시즌인 3, 4, 8, 9월의 부상 건수가 46건으로 전체 부상의 52.9%를 차지하였다. 특히, 시즌 중에는 경기 중 경쟁적인 관계에서 접촉에 의해 족관절 염좌와 타박상으로 결장하는 회수가 많았다. 그리고 대퇴부 근육의 손상에 대한 치료가 적절히 이루어지지 못하여, 재손상의 위험도가 높았다. 결론: 부상이 많은 시즌중에는 선수에게 예방을 위한 교육을 시행함으로 팀의 경기력을 향상시킬 수 있을 것이다.

• Journal of Trauma and Injury
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• 제22권1호
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• pp.87-96
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• 2009

Purpose: Injuries are the most important cause of morbidity and mortality in the childhood population worldwide. Thus, this study was down to investigate the type and the severity of injuries according to the age group in childhood. Methods: A survey of injury information and a chart review were done on 378 children (257 boys, 121 girls) who visited the Emergency Departments of Asan Medical Center from March 1, 2009, to March 31, 2009. To determine differences in injury mechanism, accident place, injury site, New Injury Severity Score (NISS) and Pediatric Trauma Score (PTS), we divided the 378 patients into 4 group: under 1 year, 1 to 4 years, 5 to 9 years, and 10 to 15 years. Results: The mean (${\pm}SD$) age of the study group was 5.1 (${\pm}4.4$) years. Two year olds formed the largest group of injured children, with 77 cases (20.4% of the total). The most common cause of injury in childhood was being hit by an object (26.2%). Falls were frequent in the under-1-year group (22.2%) and slip downs (30.1%) were more frequent in 1-to-4-year group. More than half (53.4%) of the injuries occurred in the home, and the most common places of home-related injuries were the living room (41.1%) and the bedroom (31.2%). The mean (${\pm}SD$) NISS was 1.5 (${\pm}1.8$), and traffic accidents had the highest NISS ($2.8{\pm}5.1$). Injuries occurred most frequently during the evening. The peak period was 4:00 PM to 8:00 PM (33.7%). Conclusion: Patterns of childhood injury by age group were considerably different, and less severe and nonhospitalized injuries were common. Thus, need to improve surveillance of a variety of injuries, promote intersectional collaboration, build institutional capacities and mobilize community support and policy as an investment in prevention.

• 한국산업보건학회지
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• 제17권2호
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• pp.89-100
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• 2007

Object: The purpose of this study was to survey the government official support status of the agricultural diseases, injuries and accidents among Korea and foreign countries and to suggest the agricultural policy of Korea. Methods: For this purpose, we analyzed the current national management support status among four foreign countries and Korea about agricultural diseases, injuries and accidents of farmers. For the foreign countries and the national support current status of agricultural diseases, injuries and accidents, related literature such as books, theses, articles, and web documents from the government organization of each countries were collected and analyzed. Key words for web-site and web documents were agricultural diseases, injuries, and accidents, government official system, safety and health, farmer's welfare, and farmer's official support system. UK, United States of America, France, and Japan were selected as the foreign countries' cases. Results and Conclusions: Implications for the agricultural diseases, injuries and accidents derived from the reviews among foreign countries and Korea were as follows: governmental supports should include (1) efforts on unifying administrative systems, (2) special support and management systems focusing on special subjects such as the agriculture that have been neglected, (3) aligned strategies including vision, goals, long-term plans about national safety and health projects, (4) development of supporting systems considering the features of agriculture, (5) systemized national surveys about occupational injuries and accidents for basic statistics and national studies, (6) active prevention efforts of agricultural diseases, injuries and accidents, and (8) specialized funds for safety and health of Korean farmers.

• Journal of Trauma and Injury
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• 제34권3호
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• pp.177-182
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• 2021

Purpose: Traumatic pancreatic injuries are rare, but their diagnosis and management are challenging. The aim of this study was to evaluate and report our experiences with the management of pancreatic injuries. Methods: We identified all adult patients (age >15) with pancreatic injuries from our trauma registry over a 7-year period. Data related to patients' demographics, diagnoses, operative information, complications, and hospital course were abstracted from the registry and medical records. Results: A total of 45 patients were evaluated. Most patients had blunt trauma (89%) and 21 patients (47%) had pancreatic injuries of grade 3 or higher. Twenty-eight patients (62%) underwent laparotomy and 17 (38%) received nonoperative management (NOM). The overall in-hospital mortality rate was 24% (n=11), and only one patient died after NOM (due to a severe traumatic brain injury). Twenty-two patients (79%) underwent emergency laparotomy and six (21%) underwent delayed laparotomy. A drainage procedure was performed in 12 patients (43%), and pancreatectomy was performed in 16 patients (57%) (distal pancreatectomy [DP], n=8; DP with spleen preservation, n=5; pancreaticoduodenectomy, n=2; total pancreatectomy, n=1). Fourteen (31%) pancreas-specific complications occurred, and all complications were successfully managed without surgery. Solid organ injuries (n=14) were the most common type of associated abdominal injury (Abbreviated Injury Scale ≥3). Conclusions: For traumatic pancreatic injuries, an appropriate treatment method should be considered after evaluation of the accompanying injury and the patient's hemodynamic status. NOM can be performed without mortality in appropriately selected cases.

• Archives of Plastic Surgery
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• 제46권3호
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• pp.198-203
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• 2019

Background Professional affiliation between medical centers and professional sports teams can be mutually beneficial in the provision of healthcare and marketing strategy. Anecdotal evidence suggests a link between trauma volume and sporting events; however, there is limited data. This study aims to characterize the incidence of operative hand and facial trauma during professional baseball home games. Methods A retrospective review of surgical cases for traumatic hand or facial injuries at a level 1 center between 1999 and 2012 was performed. Demographic information including date of injury, admission status, and operative repair were collected. Patients were grouped based on whether their trauma occurred on the date of a home game. Results Operative hand and facial trauma occurred at a rate of 33.4 injuries per 100 days with home games, compared to 22.2 injuries per 100 days (incidence rate ratios, 1.50; 95% confidence interval, 1.34-1.69). When home games were played, patients were more likely to present as a result of motorcycle accidents (3.1% vs. 1.5%; P=0.04) or bicycle accidents (5.0% vs. 2.6%; P=0.01). Other mechanisms of trauma were not statistically different. There was an increase incidence of injuries during home games in August; weekly variability showed an increased incidence during the weekends. Conclusions There was an increased rate of operative hand and facial injuries on dates with professional home games. The incidence of injuries during home games was higher in the late summer and on the weekends. Further analysis may allow improved resource allocation and strategies for injury prevention and treatment.

• Journal of Trauma and Injury
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• 제34권2호
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• pp.98-104
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• 2021

Purpose: Severe pelvic fractures are associated with genitourinary injuries, but the relationship between pelvic trauma and concomitant urethral injuries has yet to be elucidated. This study evaluated the incidence, mechanism, site, and extent of urethral injuries in male patients with pelvic fractures. Methods: A retrospective cohort study was performed involving patients with urethral injuries accompanying pelvic fractures who visited Pusan National University Hospital from January 1, 2014 to December 31, 2019. Demographics, mechanisms of injury, clinical features of the urethral injuries, concomitant bladder injuries, methods of management, and the configuration of the pelvic fractures were analyzed. Results: The final study population included 24 patients. The overall incidence of urethral injury with pelvic fracture was 2.6%, with the most common mechanism of urethral injury being traffic accidents (62.5%). Complete urethral disruption (16/24, 66.7%) was more common than partial urethral injuries (8/24, 33.3%), and unstable pelvic fractures were the most common type of pelvic fracture observed (70.8%). There was no definitive relationship between the extent of urethral injury and pelvic ring stability. Conclusions: The present study provides a 6-year retrospective review characterizing the incidence, mechanism, and clinical features of urethral injury-associated pelvic fractures. This study suggests that the possibility of urethral injury must be considered, especially in unstable pelvic fracture patients, and that treatment should be chosen based on the clinical findings.

• Journal of Trauma and Injury
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• 제34권2호
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• pp.81-86
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• 2021

Purpose: This study investigated the clinical outcomes of trauma patients with blunt thoracic aortic injuries at a single institution. Methods: During the study period, 9,501 patients with traumatic aortic injuries presented to Trauma Center of Gil Medical Center. Among them, 1,594 patients had severe trauma, with an Injury Severity Score (ISS) of >15. Demographics, physiological data, injury mechanism, hemodynamic parameters associated with the thoracic injury according to chest computed tomography (CT) findings, the timing of the intervention, and clinical outcomes were reviewed. Results: Twenty-eight patients had blunt aortic injuries (75% male, mean age, 45.9±16.3 years). The majority (82.1%, n=23/28) of these patients were involved in traffic accidents. The median ISS was 35.0 (interquartile range 21.0-41.0). The injuries were found in the ascending aorta (n=1, 3.6%) aortic arch (n=8, 28.6%) aortic isthmus (n=18, 64.3%), and descending aorta (n=1, 3.6%). The severity of aortic injuries on chest CT was categorized as intramural hematoma (n=1, 3.6%), dissection (n=3, 10.7%), transection (n=9, 32.2%), pseudoaneurysm (n=12, 42.8%), and rupture (n=3, 10.7%). Endovascular repair was performed in 71.4% of patients (45% within 24 hours), and two patients received surgical management. The mortality rate was 25% (n=7). Conclusions: Traumatic thoracic aortic injuries are life-threatening. In our experience, however, if there is no rupture and extravasation from an aortic injury, resuscitation and stabilization of vital signs are more important than an intervention for an aortic injury in patients with multiple traumas. Further study is required to optimize the timing of the intervention and explore management strategies for blunt thoracic aortic injuries in severe trauma patients needing resuscitation.