• 한국재난정보학회 논문집
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• 제7권1호
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• pp.12-20
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• 2011

본 연구는 군중집회 및 군중눌림 현상의 문헌조사 및 분석에 근거하여 군중집회 및 군중집회에서의 인명피해의 특성을 알아보고자 수행되었다. 대규모 군중집회 시 인명 피해의 특성은 참가자 수와 군중 밀도가 군중집회 종류와 특성에 따라 다른 영향을 미치고 있었다. 군중 집회에 영향을 주는 변수와 그 원인들은 상황에 따라 다양한 정 혹은 부의 영향을 미치고 있었으며 그 변수들은 날씨, 참가자 수, 행사 기간, 실외와 실내, 착석과 이동, 행사 유형, 군중 감정상태, 술 혹은 약물, 군중 밀도, 관련 시설, 참가자 연령 등이었다. 이 중 군중 눌림현상은 실험적으로도 연구가 가능하였고, 사고가 유발되는 물리적 기전으로 보아 군중 압력과 군중 밀도 및 압력의 지속 시간에 영향을 받았으나 사망에 이르는 구체적인 압력 수치를 도출하려면 인간 신체와 관련된 여러 외부적 영향으로 인하여 추가적 연구가 더 필요하다.

• Journal of Trauma and Injury
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• 제34권4호
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• pp.257-262
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• 2021

Purpose: Pediatric hand trauma is common and sometimes causes deformity or disability. The incidence and etiologies of hand trauma in children are different from those in adults. This study analyzed the characteristics of pediatric hand trauma cases and patients over a 15-year period. Methods: We conducted a retrospective medical record review of 3,432 children (2,265 boys, 1,167 girls, under 18 years of age) with hand injuries from January 2005 to December 2019. We evaluated the sex distribution and injury etiologies. Injuries were classified by type as burns, amputations, crushing injuries, lacerations, extensor and flexor tendon injuries, open and closed fractures, and nerve injuries. Results: Among the pediatric hand injury patients, males were predominant (1.94:1). Simple lacerations (58.4%) were the most common injury type, followed by fractures (22.8%). Lacerations and burns tended to be common in younger age groups, while tendon injuries, nerve injuries, and crushing injuries were more frequently encountered in older age groups. Conclusions: Hand trauma prevention strategies should be established considering the frequent trauma etiologies in specific age groups. An awareness of age-specific characteristics of pediatric hand trauma patients will be helpful to prevent hand trauma.

• Journal of Trauma and Injury
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• 제20권1호
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• pp.33-39
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• 2007

Purpose: Few studies have been done for spinal injuries after skiing and snowboarding accidents. Assuming that the riding patterns of skiing and snowboarding were different, we analyzed the differences between the mechanisms, diagnoses and levels of spinal injuries caused by them. The purpose of this study was to gain a better understanding of spinal hazards associated with skiing and snowboarding in order to educate skiers and snowboarders. Methods: We conducted a prospective study of 96 patients who had sustained spinal injuries as a result of skiing and snowboarding accidents from January 2003 to March 2006. We used a questionnaire, radiological studies, history taking, and physical examinations. We analyzed the mechanism of injury, the level of spinal injury, the severity of spinal injury, and the Abbreviated Injury Scale scores (AIS score). We used the t-test and the chi-square test. Results: The skiing and the snowboarding injury group included in 96 patients. The skiing injury group included 30 patients (31.2%), and the snowboarding injury group included the remaining 66 patients (69.8%). The primary mechanism of injury in skiing was collisions and in snowboarding was slip downs (p=0.508). The primary level of spinal injury in skiing and snowboarding was at the L-spine level (p=0.547). The most common athlete ability of the injured person was at the intermediate level (p=0.954). The injured were most commonly at the beginner or the intermediate level (p=0.302). The primary diagnosis of spinal injury in skiing and snowboarding was back spain (p=0.686). The AIS scores did not differed between the two groups (p=0.986). Conclusion: The most common spinal injury after skiing and snowboarding accidents was back sprain. There was no difference in the severity of spinal injury between skiing and snowboarding accidents.

• 한국응용곤충학회지
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• 제30권2호
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• pp.124-129
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• 1991

1990년 6월부터 전남지방에서 성훼로몬을 이용한 파밤나방의 발생소장, 일일비산활동 및 기주별 가해특성을 조사한 결과 성충은 6월 중순부터 trap에 유인이 시작되어 11월 하순까지 계속되었으며 발생 peak는 비닐하우스에서 8월 중순~하순, 9월 중순~하순, 11월 상순~중순이었으며 야외포장에서도 역시 6월 중순부터 유인이 시작되어 9월 상순~하순, 10월 중순~11월 하순에 유인량이 많았으며 노지에 비해서 비닐하우스에서 peak가 20일 가량 빨랐다. 유충의 biomass에 의한 발생 가능세대수는 남부지방에서 6회로 추정되었다. 일일중 비산활동은 주로 24시 이후부터 일출전까지 활발하였으며 peak는 4시~6시 사이였다. 기주에 따른 가해특성은 외대파에 있어서는 초장 10cm이하에서 유충 밀도 및 피해주율이 가가장 높았으며, 국화는 생육에 따라 피해주율이 점차 증가하다가 생육후기에는 오히려 떨어지는 경향이었고 가해부위는 시기에 관계없이 주로 엽상이 70%이상이었고 다음은 엽하 12.3%, 정단 9.3%순이었다. 또한 안개초에 있어서 피해주는 거의 생육을 하지 못하여 개화에 이르지 못하였다.

• 대한안전경영과학회지
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• 제3권2호
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• pp.105-112
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• 2001

This study concerns with the accident characteristics and prevention in small manufacturing industries of chemical products. To investigate the accident characteristics, we used workers' compensation reports and employers' accident analysis reports. One hundred and seven injury accidents which results in more than 4 days absence were surveyed from the manufacturing companies with under 100 employees. These data were used to investigate the accident characteristics in terms of company size, injured person's age, work experience, accident time, activity at time of accident, accident type, injury type, injured body Part, and accident agency We propose the accident prevention policy based on the accident characteristics. These results can be used to develop more effective occupational safety management policies in small manufacturing industries of chemical products.

• Journal of Korean Biological Nursing Science
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• 제23권2호
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• pp.138-150
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• 2021

Purpose: This retrospective study aimed to investigate nursing interventions in patients with severe thoracic injury in trauma bay of a regional trauma center. Methods: Of the 1,780 patients admitted to the trauma bay of a regional trauma center in a university hospital in the Gyeonggi Province between January 1, 2019 and December 31, 2019, 120 adult patients with severe thoracic injury who met the inclusion criteria were enrolled. Participants' clinical characteristics and nursing interventions were collected from electronic medical records after receiving ethical approval. Nursing interventions were classified using the terminology in the Nursing Intervention Classification. Results: The mean age of participants was 52.25 years and 72.5% of participants were male. The main areas of thoracic injury included lung parenchyma and pleura (95.8%). The mean Abbreviated Injury Scale (AIS) for thoracic injury was 3.13 and the mean Injury Severity Score (ISS) was 17.81. Fluid resuscitation, invasive hemodynamic monitoring, chest tube care, respiratory monitoring, artificial airway management, gastrointestinal tube care, mechanical ventilation management: airway insertion and stabilization, blood product administration, allergy management, and surgical preparation were performed significantly more frequently in thoracic injury patients with unstable vital signs or a higher AIS score. Conclusion: This study is significant as it investigated the types of nursing interventions given to patients with severe thoracic injury in the trauma bay. These results would contribute to developing more detailed educational materials for initial nursing interventions in trauma bay.

• 대한정형외과스포츠의학회지
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• 제10권2호
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• pp.86-93
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• 2011

목적: 가장 뛰어난 수행 능력을 가진 국가대표 엘리트 태권도 선수의 국제 경기 중의 손상에 대하여 분석하고자 하였다. 대상 및 방법: 2011 경주 세계 선수권 대회에 참가한 146개국 국가대표 950명이 전체 1,063 경기 중에 손상을 받은 52명을 대상으로 하였으며 성별, 연령별, 체급별 경기 손상률과 손상 부위별 손상 발생률과 손상 유형, 그리고 손상 양상에 따른 손상 부위 등에 대하여 분석하였다. 결과: 총 950명, 전체 1,063 경기에서 52명이 손상을 입어 5.47%가 경기 손상을 받았고, 1,000 경기 노출당(per 1,000 athlete-exposures, /1,000 A-E) 손상률은 24.46/1,000 A-E이었다. 여자의 손상률이 남자보다 높았지만 통계학적으로 유의한 차이는 없었다(p=0.512). 연령별로는 30세 이상에서 손상률이 참가자 100명당 17.39%로 가장 높았으며, 체급별로는 남자에서 87kg 이상에서 손상률이 9.23%로 가장 높았고, 여자에서 67~73kg 체급의 손상률이 18.18%로 가장 높았으나 통계학적 유의성은 없었다(p=0.838). 손상 부위는 전체적으로는 하지의 손상률이 13.17/1,000 A-E로 상지나 두경부, 체간 부위보다 높았지만, 손상 부위별로는 수부 손상의 손상률이 5.17/1,000 A-E로 가장 높았고 슬관절 부위가 4.70/1,000 A-E로 다음이었다(p=0.714). 손상 유형으로는 관절 염좌의 손상률이 10.81/1,000 A-E로 가장 높았으며, 다음 순위로 남자에서는 골절의 손상률이 5.40/1,000 A-E로 높았으나 여자에서는 좌상이 9.63/1,000 A-E로 높았다(p=0.033). 중증 손상인 골절은 8예 중 4예에서 수부에서 발생하였다. 결론: 2011 경주 세계 선수권 대회에 참가한 엘리트 태권도 선수의 국제 경기 중 손상률은 5.47%, 24.46/1,000 A-E였다. 전체적으로는 슬관절과 족관절의 염좌가 가장 많은 손상을 차지하였지만 중증 손상인 골절은 수부에서 가장 많이 발생하였다.

• Journal of Trauma and Injury
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• 제21권1호
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• pp.53-58
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• 2008

Purpose: Skiing and snowboarding are becoming increasingly popular. Accordingly, the incidences of injuries among skiers and snowboarders are also increasing. The purpose of this study was to investigate the injury patterns of and the contributing factors to head injuries of skiers and snowboarders and to evaluate the differences in characteristics between skiing and snowboarding head injuries. Methods: One-hundred patients who visited the emergency department of Wonju Christian Hospital between January 2005 and March 2007 due to head injuries from skiing and snowboarding were enrolled. The mechanisms and the histories of the injuries were investigated by surveying the patients, and the degrees of head injuries were estimated by using brain CT and the Glasgow Coma Scale. The degrees and the characteristics of brain injuries were also analyzed and compared between skiers and snowboarders. Results: Out of 100 patients, 39 were injured by skiing, and 61 were injured by snowboarding. The mean age of the skiers was $26.7{\pm}10.0$, and that of the snowboarders was $26.7{\pm}6.2$. The percentage of male skiers was 43.6%, and that of snowboarders was 63.9%. The most frequent initial chief complaints of head-injured skiers and snowboarders were headache and mental change. The most common mechanism of injuries was a slip down. The mean Abbreviated Injury Scale Score (AIS score) of the skier group was $4.5{\pm}2.1$ and that of the snowboarder group was $5.9{\pm}5.0$ (p=0.222). The percentage of helmet users was 7.1% among skiers and 20.8% among snowboarders (p=0.346). Head injuries were composed of cerebral concussion (92.0%) and intracranial hemorrhage (8.0%). Intracranial hemorrhage was most frequently caused by falling down (62.5%). Conclusion: The most common type of head injury to skiers and snowboarders was cerebral concussion, and severe damage was usually caused by jumping and falling down. No differences in the characteristics of the head injuries existed between skiing and snowboarding injuries.

• 한국응용과학기술학회지
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• 제37권4호
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• pp.839-847
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• 2020

본 연구는 외발 착지 시 신체적 특성 요인들인 발목 유연성, 성별, Q-angle이 발목 관절 상해 요인들에 미치는 영향을 분석하는데 목적이 있었다. 이를 위해 오른발을 주발로 사용하고 체육을 전공하는 20대 남성 16명(나이: 20.19±1.78 years, 체중: 69.54±10.12 kg, 신장: 173.22±4.43 cm), 여성 16명(나이: 21.05±1.53 years, 체중: 61.75±6.97 kg, 신장: 159.34±4.56 cm)을 연구대상자로 선정하였다. 외발 착지 시 신체적 특성 요인들이 발목 관절 상해에 미치는 영향을 확인하기 위하여 첫째, 발목 상해 경험에 따른 하지 관절 움직임과 관절 모멘트의 독립 t-test를 실시하였다(α = .05). 둘째, t-test를 통하여 유의한 차이를 나타낸 변인을 종속변인으로 설정하고 발목 유연성, 성별의 차이, Q-angle을 독립변인으로 지정하여 선형다중회귀분석(Multiple Linear Regression)을 사용하였다(α = .05). 본 연구결과 발목 관절 상해를 경험한 그룹은 상해를 경험하지 않은 그룹과는 다르게 발목 관절의 내전, 무릎 관절의 내측 회전을 통한 착지 전략과 기술을 사용하는 것으로 나타났다. 또한 이러한 움직임은 발목 관절의 신전 모멘트를 증가시키고, 엉덩 관절의 신전 모멘트는 감소시키는 것으로 확인되었다. 특히 발목의 배측굴곡 유연성은 발목과 무릎의 착지전략에 영향을 미치며, 성별의 차이는 발목의 신전 모멘트에 영향을 미치는 것을 알 수 있었다. 따라서 외발 착지 시 신체적 특성 요인들이 발목 관절 상해에 영향을 미치는 요인들임을 확인 할 수 있었다.

• Journal of Korean Neurosurgical Society
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• 제64권5호
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• pp.791-798
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• 2021

Objective : The period of mechanical ventilator (MV)-dependent respiratory failure after cervical spinal cord injury (CSCI) varies from patient to patient. This study aimed to identify predictors of MV at hospital discharge (MVDC) due to prolonged respiratory failure among patients with MV after CSCI. Methods : Two hundred forty-three patients with CSCI were admitted to our institution between May 2006 and April 2018. Their medical records and radiographic data were retrospectively reviewed. Level and completeness of injury were defined according to the American Spinal Injury Association (ASIA) standards. Respiratory failure was defined as the requirement for definitive airway and assistance of MV. We also evaluated magnetic resonance imaging characteristics of the cervical spine. These characteristics included : maximum canal compromise (MCC); intramedullary hematoma or cord transection; and integrity of the disco-ligamentous complex for assessment of the Subaxial Cervical Spine Injury Classification (SLIC) scoring. The inclusion criteria were patients with CSCI who underwent decompression surgery within 48 hours after trauma with respiratory failure during hospital stay. Patients with Glasgow coma scale 12 or lower, major fatal trauma of vital organs, or stroke caused by vertebral artery injury were excluded from the study. Results : Out of 243 patients with CSCI, 30 required MV during their hospital stay, and 27 met the inclusion criteria. Among them, 48.1% (13/27) of patients had MVDC with greater than 30 days MV or death caused by aspiration pneumonia. In total, 51.9% (14/27) of patients could be weaned from MV during 30 days or less of hospital stay (MV days : MVDC 38.23±20.79 vs. MV weaning, 13.57±8.40; p<0.001). Vital signs at hospital arrival, smoking, the American Society of Anesthesiologists classification, Associated injury with Injury Severity Score, SLIC score, and length of cord edema did not differ between the MVDC and MV weaning groups. The ASIA impairment scale, level of injury within C3 to C6, and MCC significantly affected MVDC. The MCC significantly correlated with MVDC, and the optimal cutoff value was 51.40%, with 76.9% sensitivity and 78.6% specificity. In multivariate logistic regression analysis, MCC >51.4% was a significant risk factor for MVDC (odds ratio, 7.574; p=0.039). Conclusion : As a method of predicting which patients would be able to undergo weaning from MV early, the MCC is a valid factor. If the MCC exceeds 51.4%, prognosis of respiratory function becomes poor and the probability of MVDC is increased.