• 제목/요약/키워드: safety injuries

검색결과 630건 처리시간 0.027초

부상 심각도에 의한 초기 및 후기 고령 운전자 사고 특성 분석 (Characteristics of Crashes with Early and Late Elderly Drivers by Injury Severity)

  • 김상수;최보림;정연식
    • 대한토목학회논문집
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    • 제43권4호
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    • pp.477-484
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    • 2023
  • 인구의 수명 연장에 따라 고령 운전자 수와 연령대는 지속적으로 증가하고 있다. 따라서 교통에서 고령 운전자의 연령대별 차별화된 관리를 위한 노력이 필요하다. 본 연구의 목적은 비고령 운전자 대비 초기 및 후기 고령 운전자의 부상 심각도에 영향을 미치는 인자들을 파악하여, 이들 그룹간 특성을 분석하는 것이다. 과거 5년간(2017-2021) 전국 도로에서 발생된 교통사고 자료를 적용하였으며, 기존 연구와 달리, 본 연구에서는 노안이 시작되는 40대 이후 운전자만을 대상으로 하였으며, 중년 운전자(40-64), 초기 고령 운전자(65-74), 후기 고령 운전자(75+)로 구분하여 분석을 진행하였다. 로지스틱 회귀 분석 결과, 초기 및 후기 고령 운전자의 중상 및 사망사고에 영향을 미치는 변수는 총 18개로 나타났으며, 이들 변수는 대부분 후기 고령 운전자 그룹에서 보다 민감하게 심각도를 형성하는 것으로 나타났다. 연구의 결과는 향후 고령 운전자 교통안전 정책수립을 위한 기반정보로 유용하게 활용될 것으로 기대된다.

Application of cold atmospheric microwave plasma as an adjunct therapy for wound healing in dogs and cats

  • Jisu Yoo;Yeong-Hun Kang;Seung Joon Baek;Cheol-Yong Hwang
    • Journal of Veterinary Science
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    • 제24권4호
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    • pp.56.1-56.13
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    • 2023
  • Background: Cold atmospheric plasma is a novel innovative approach for wound care, and it is currently underrepresented in veterinary medicine. Objectives: To investigate the efficacy and safety of using cold atmospheric microwave plasma (CAMP) as an adjunct therapy for wound healing in dogs and cats. Methods: Wound healing outcomes were retrospectively analyzed using clinical records of client-owned dogs and cats who were first managed through standard wound care alone (pre-CAMP period) and subsequently via CAMP therapy (CAMP period). The degree of wound healing was estimated based on wound size and a modified wound scoring system. Results: Of the 27 acute and chronic wounds included in the analysis, 81.48% showed complete healing after the administration of CAMP as an adjunct therapy to standard care. Most wounds achieved complete healing in < 5 weeks. Compared with the pre-CAMP period, the rate of wound healing significantly increased every week in the CAMP period in terms of in wound size (first week, p < 0.001; second week, p = 0.012; third week, p < 0.001) and wound score (first week, p < 0.001; second week, p < 0.001; third week, p = 0.001). No adverse events were noted except for mild discomfort and transient erythema. Conclusions: CAMP is a well-tolerated therapeutic option with immense potential to support the treatment of wounds of diverse etiology in small animal practice. Further research is warranted to establish specific criteria for CAMP treatment according to wound characteristics.

Comparison of hybrid arch bar versus conventional arch bar for temporary maxillomandibular fixation during treatment of jaw fractures: a prospective comparative study

  • Samriddhi Burman;Santhosh Rao;Ankush Ankush;Nakul Uppal
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • 제49권6호
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    • pp.332-338
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    • 2023
  • Objectives: This study aimed to compare the effectiveness of a hybrid arch bar (hAB) with the conventional Erich arch bar (EAB) for the management of jaw fractures, focusing on their use for temporary fixation in patients undergoing open reduction and internal fixation (ORIF). Materials and Methods: Patients presenting with maxillary and mandibular fractures at our institution were included in this prospective, comparative study. Placement time and ease of occlusal reproducibility were recorded intraoperatively for Group A (hAB patients) and Group B (EAB patients). The primary outcome was comparison of the postoperative stability of the two arch bars. Postoperative measurements also included mucosal overgrowth, screw loosening or wire retightening, and replacement rates. The data were tabulated and computed with a P<0.05 considered statistically significant. Results: The study included 41 patients. A statistically significant difference was observed in postoperative stability scores (3) between Group A and Group B (85.0% vs 9.5%, P=0.001). The mean placement time in Group A (23.3 minutes) significantly differed from that in Group B (86.4 minutes) (P<0.001). The ease of intraoperative occlusion was not different between the two groups (P=0.413). Mucosal overgrowth was observed in 75.0% of patients (15 of 20) in Group A. Conclusion: The hAB was superior to EAB in clinical efficiency, maxillomandibular fixation time reduction, stability, versatility, and safety. Despite temporary mucosal overgrowth, the benefits of hAB outweigh the disadvantages. The choice between hAB and EAB should be based on specific clinical requirements.

Surgical Resection of Neurogenic Heterotopic Ossification around Hip Joint in Stroke Patients: A Safety and Outcome Report

  • Jae-Young Beom;WengKong Low;Kyung-Soon Park;Taek-Rim Yoon;Chan Young Lee;Hyeongmin Song
    • Hip & pelvis
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    • 제35권4호
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    • pp.268-276
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    • 2023
  • Purpose: Resection remains the most reliable treatment for established heterotopic ossification, despite questions regarding its effectiveness due to the potential for complications. This study evaluated the clinical outcomes and complications of neurogenic heterotopic ossification (NHO) resection in stroke patients' ankylosed hips. Materials and Methods: We retrospectively analyzed nine hip NHO resections performed on seven patients from 2010 to 2018. The pre- and postoperative range of motion of the operated hip were compared. Analysis of postoperative complications, including infection, recurrence, iatrogenic fracture, and neurovascular injury was performed. Results: The mean operative time was 132.78±21.08 minutes, with a mean hemoglobin drop of 3.06±0.82 g/dL within the first postoperative week. The mean duration of postoperative follow-up was 52.08±28.72 months for all patients. Postoperative range of motion showed improvement from preoperative. Flexion and external rotation (mean, 58.89±30.60° and 16.67±18.03°, respectively) showed the greatest gain of motion of the operated hip joint. Postoperative infections resolved in two cases through surgical debridement, and one case required conversion to total hip arthroplasty due to instability. There were no recurrences, iatrogenic fractures, or neurovascular injuries. Conclusion: Resection is a beneficial intervention for restoring the functional range of motion of the hip in order to improve the quality of life for patients with NHO and neurological disorders. We recommend performance of a minimal resection to achieve a targeted functional arc of motion in order to minimize the risk of postoperative complications.

설문조사를 통한 연안개량안강망어업의 기본 사항 및 어로 작업 중 발생하는 안전사고 분석 (Analysis of the basic items and safety accidents occurring during the fishing operation in coastal improved stow net fishery by the questionnaire survey)

  • 장호영;김민선;황보규;오종철
    • 수산해양기술연구
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    • 제57권1호
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    • pp.57-68
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    • 2021
  • In order to collect basic data for the improvement of fishing systems in coastal improved stow net fishery, a questionnaire survey and on-site hearing were conducted from May 10 to June 11, 2019 on the basic items of coastal improved stow net fishery and safety accidents that occurred during fishing operation. The questionnaire for the survey on the actual conditions of coastal improved stow net fishery consisted of a survey on basic matters (six questions) and a questionnaire (six questions) on safety accidents occurring during fishing operation. The results of the survey on basic items were analyzed by region (Incheon, Seocheon, Gunsan and Mokpo), by the captain's age (less than 50 years of age, 50 to 60 years and more than 60 years of age), by the captain's career (less than 20 years, 20 to 30 years, 30 to 40 years and more than 40 years) and by the age of fishing vessel (less than 10 years, 10 to 20 years and more than 20 years). According to the survey on basic items of coastal improved stow net fishery such as the captain's age, the captain's career, the age of fishing vessel, the fishing nets in use, the crews on board and the operation days per voyage by region, the average captain's age was 55.7 years, the average captain's career was 20.5 years, the average age of fishing vessels was 9.0 years, the average numbers of nets used by fishing boats was 14.0 sets, the average numbers of crew on board a fishing boat was 4.4 persons and the average numbers of operation days per voyage was 4.9 days (p < 0.05). As a result of the survey on safety factors during fishing operations, such as experience of ship accidents, major causes of ship accidents experienced, causes of ship accidents (first priority), experience of human accidents, major causes of human accidents, and causes of human accidents (first priority), more than 96% of the respondents experienced ship accidents including collisions with other vessels or fishing gear during fishing operations. The most significant cause of the accident was the other's fishing gear installed in the fishing grounds. The first possible causes of ship accidents during fishing operations were found to be other fishing gear installed in fishing grounds, steering or engine failure, and inability to avoid accidents during casting and hauling nets. The survey of the experience of human accidents, such as injuries or sea falls, showed that more than 90% of the respondents experienced human accidents during fishing operations. The most important cause of accidents experienced during fishing operations was stucked in a fishing gear during casting and hauling nets. The first important causes of accidents during fishing operations were movement of the fishing gear during casting and hauling nets, damage of the fishing gear such as rope cutting. The results are expected to be provided as a basic data to prevent safety accidents occurring during fishing operation and improve the fishing system in the coastal improved stow net fishery.

1개 종합병원 환자의 낙상에 관한 조사 (A Study on Fall Accident)

  • 이현숙;김매자
    • 대한간호
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    • 제36권5호
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    • pp.45-62
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    • 1998
  • The study was conducted from November 1995 to May 1996 at the one general hospital in Seoul. The total subjects of this study were 412 patients who have the experience of fall accident, among them 31 was who have fallen during hospitalization and 381 was who visited emergency room and out patient clinic. The purposes of this study were to determine the characteristics, risk factors and results of fall accident and to suggest the nursing strategies for prevention of fall. Data were collected by reviewing the medical records and interviewing with the fallers and their family members. For data analysis, spss/pc+ program was utilized for descriptive statistics, adjusted standardized $X^2$-test. The results of this study were as follows: 1) Total subjects were 412 fallers, of which 245(59.5%) were men and 167(40.5%) were women. Age were 0-14 years 79(19.2%), 15-44 years 125(30.4%), 45-64 years 104(25.2%), over 65 years 104(25.2%). 2) There was significant association between age and the sexes ($X^2$=39.17, P=0.00). 3) There was significant association between age and history of falls ($X^2$=44.41. P= .00). And history of falls in the elderly was significantly associated with falls. 4) There was significant association with age and medical diagnosis ($X^2$=140.66, P= .00), chief medical diagnosis were hypertension(34), diabetis mellitus(22), arthritis(11), stroke(8), fracture(7), pulmonary tuberculosis(6), dementia(5) and cataract(5), 5) There was significant association between age and intrinsic factors: cognitive impairment, mobility impairment, insomnia, emotional problems, urinary difficulty, visual impairments, hearing impairments, use of drugs (sedatives , antihypertensive drugs, diuretics, antidepressants) (P < 0.05). But there was no significant association between age and dizziness ($X^2$=2.87, P=.41). 6) 15.3% of total fallers were drunken state when they were fallen. 7) Environmental factors of fall accident were unusual posture (50.9%), slips(35.2%), trips (9.5%) and collision(4.4%). 8) Most of falls occurred during the day time, peak frequencies of falls occurred from 1pm to 6pm and 7am to 12am. 9) The places of fall accident were roads(22.6%), house-stairs 06.7%), rooms, floors, kitchen (11.2%), the roof-top, veranda, windows(10.9%), hospital(7.5%), ice or snowy ways(5.8%), bathroom(4.9%), playground, park(4.9%), subway-stairs(4.4%) and public-bathrooms (2.2%). 10) Activities at the time of fall accident were walking(37.6%), turning around or reaching for something(20.9%), going up or down stairs09.2%), exereise, working07.4%), up or down from a bed(2.7%), using wheelchair or walking aids, standing up or down from a chair(2.2%) and standing still(2.2%). 11) Anatomical locations of injuries by falls were head, face, neck(31.3%), lower extremities (29.9%). upper extremities(20.6%), spine, thorax, abdomen or pelvic contents(l1.4%) and unspecified(2.9%). 12) Types of injures were fracture(47.6%), bruises03.8%), laceration (13.3%), sprains(9.0%), headache(6.6%), abrasions(2.9%), intracranial hemorrage(2.4%) and burns(0.5%). 13) 41.5% of the fallers were hospitalized and average of hospitalization was 22.3 days. 14) The six fallers(1.46%) died from fall injuries. The two fallers died from intracranial hemorrage and the four fallers died of secondary infection; pneumonia(2), sepsis(1) and cell lulitis(1). It is suggested that 1) Further study is needed with larger sample size to identify the fall risk factors. 2) After the fall accident, comprehensive nursing care and regular physical exercise should be emphasized for the elderly person. 3) Safety education and safety facilities of the public place and home is necessary for fall prevention.

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주행차량 안전벨트 착용 검지시스템 교통안전 효과 분석 (Analysis of Traffic Safety Effectiveness of Vehicle Seat-belt Wearing Detection System)

  • 박지원;박수빈;강상철;오철
    • 한국ITS학회 논문지
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    • 제22권5호
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    • pp.53-73
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    • 2023
  • 교통사고로 인한 인체 상해를 최소화할 수 있는 안전벨트의 착용이 전 좌석에서 의무임에도 불구하고, 안전벨트를 착용하지 않은 교통사고 사상자수는 여전히 많은 비율을 차지한다. 주행차량 내 전 좌석 안전벨트 착용 검지시스템은 탑승자의 안전벨트 착용 여부를 판단하고 착용을 유도하는 시스템으로 안전벨트 미착용 사상자수 감소를 위한 유용한 기술적 대응방안이 될 수 있다. 본 연구에서는 첫 번째로 순서형프로빗 모형을 활용한 교통사고 상해심각도 영향요인 평가를 통해 시스템 도입에 대한 타당성을 제시하였다. 분석결과, 안전벨트 착용 여부는 교통사고 상해심각도에 통계적으로 유의한 영향을 미치며 안전벨트 착용 시 사망 및 치명상에 이를 확률이 0.054배 감소하는 것으로 나타났다. 두 번째로 안전벨트 및 교통사고 상해와 관련된 선행연구를 기반으로 메타분석을 수행하여 시스템 도입 시 기대되는 사고심각도 감소효과를 추정하였다. 사고심각도 감소효과 분석결과, 안전벨트 착용 시 사망사고가 63.3% 감소할 것으로 분석되었으며 앞좌석은 75.7%, 뒷좌석은 58.1%의 사망사고 감소효과를 갖는 것으로 나타났다. 마지막으로 메타분석 결과와 교통사고 통계자료를 기반으로 시스템 도입 시 기대되는 교통사고 사상자수 감소효과를 도출하여 시스템의 교통안전 측면 효과를 분석하였다. 시스템 도입률이 증가함에 따라 안전벨트 미착용 교통사고 사상자수가 감소하였으며 시스템 도입률이 60%일 경우 사망자수는 현재 대비 3배 이상 감소할 것으로 예상되었다. 분석결과를 활용하여 안전벨트 착용률을 높이고 사고심각도를 저감시킬 수 있는 시스템 운영 방안을 제시하였다.

트라이애슬론의 과사용 부상과 의학적 위험요인에 대한 고찰 (Triathlon-Related Overuse Injury and Medical Issues)

  • 박찬호;곽이섭;김태운
    • 생명과학회지
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    • 제20권2호
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    • pp.314-320
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    • 2010
  • 트라이애슬론은 수영, 사이클, 달리기로 구성된 스포츠로 단일종목의 스포츠에 참가할 때 보다 잠재적인 의학적 위험요인을 더 많이 포함하고 있다. 과사용은 스트레스의 증가와 뼈, 관절, 근육, 건 또는 신경의 손상을 일으키며, 지금까지 트라이애슬론 훈련과 경기 중에 발생될 수 있는 과사용 부상은 목통증, 요통, 근육과 건 부상, 인대부상, 만성적인 통증 등이며, 대부분의 과사용 부상은 달리기 훈련시 가장 많이 발생된다. 또한 트라이애슬론 참가자들은 다양한 자연환경과 경기거리에서 완주해야 하는 만큼 부상 이외의 의학적 문제에 직면할 수 있으며, 현재까지 트라이애슬론과 관련하여 보고되고 있는 의학적 위험요인들은 저체온증, 저나트륨혈증, 일사병, 자외선에 과도한 노출, 면역억압, 심리적인 탈진현상, 용혈증 등을 포함하고 있다. ID 경기 중에 발생 할 수 있는 의학적 문제들 가운데 가장 빈번하게 발생하는 증상은 탈진과 탈수현상이며, 그 다음으로 나타나는 문제점들은 저나트륨혈증, 열부상, 저혈압, 화상과 물집, 근육경련 등이다. 그러나 SD와 OD 경기 중에는 달리기 속도가 빠르고 더 높은 강도에서 경기가 진행되기 때문에 일사병의 발생 위험이 더 높고, 경기 시간이 짧은 관계로 저나트륨혈증은 발생하지 않는다. 본 연구는 트라이애슬론 훈련과 경기 중에 발생 될 수 있는 과사용 부상과 의학적 위험 요인에 대한 연구문헌들을 고찰하여 스포츠 활동에 직접 참여하는 엘리트 선수 및 동호인 그리고 스포츠 현장에서 선수들을 지도하는 코치와 대회를 주최하는 관계자들에게 트라이애슬론과 관련된 과사용 부상과 의학적 위험요인에 대한 기초자료를 제공하여 이러한 위험요인들을 미연에 예방하거나 감소시키는데 도움을 줄 수 있는 기초자료를 제시하고자 한다.

선박 내 CO2 소화설비에 의한 질식사고 방지 기법 (Method for Preventing Asphyxiation Accidents by a CO2 Extinguishing System on a Ship)

  • 하연철;서정관;황준호;임기창;류상훈
    • 한국화재소방학회논문지
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    • 제29권6호
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    • pp.57-64
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    • 2015
  • 육상 및 해상에서 일어나는 화재를 진압하기 위한 가스계 소화설비 중 이산화탄소 소화설비는 우수한 성능 및 높은 경제성으로 인하여 널리 사용되고 있지만, 고농도 이산화탄소로 인한 질식사고가 빈번히 발생하여 안전문제가 항상 지적되어 왔다. 본 연구에서는 수치해석을 통하여 선박 내 압축기실의 이산화탄소 소화설비 화재 진압 특성을 예측하고, 이산화탄소 소화설비로 인한 질식사고를 방지하기 위한 2중 안전 제어기법을 제시하여, 이산화탄소 소화설비의 안전을 도모하였다. 수치해석 결과로는 4가지 시나리오를 선정하여, 화재발생 후 이산화탄소 소화설비 작동으로 인한 열발생률 변화, 온도변화, 이산화탄소 농도변화, 산소 농도변화 및 화재진압 특성을 고찰하였으며, 방호구역 내 환기팬 용량이 충분하지 않은 경우의 위험성 및 적절한 환기시스템의 필요성을 제시하였다.

MPN-PCR 방법을 이용한 Vibrio vulnificus 균수 정량분석 (Quantitative Cell Count of Vibrio vulnificus Cells Based on MPN-PCR Method)

  • 장유미;박슬기;정희진;이장원;윤요한;박권삼;신일식;김영목
    • 한국식품위생안전성학회지
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    • 제33권5호
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    • pp.412-415
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    • 2018
  • V. vulnificus는 그람음성의 호염성균으로 감염 되었을 경우, 복통과 발열 등의 급성 위장염을 일으키며 만성질환자에게 급성 패혈증을 일으키는 매우 높은 치사율의 식중독균이다. 식품 중에서 V. vulnificus를 분석하는 방법으로는 TCBS agar와 같은 선택배지를 이용하는 방법과 PCR을 이용한 방법이 있으나 온도, 염 및 pH 등과 같은 환경 요인에 민감한 V. vulnificus의 특성을 고려하였을 때 정확한 균수 정량을 위한 정량분석법 확립의 필요성이 요구된다. 본 연구에서는 배지 및 염 차이에 따른 V. vulnificus 생육 특성 차이에 대한 연구를 진행하였다. 그 결과, V. vulnificus 균수 정량분석에 APW 증균 배양을 이용한 MPN-PCR 방법이 적합하였다. 본 연구에서 제시된 방법은 해수뿐만 아니라 어패류 등의 시료에서 V. vulnificus 균수 정량분석에 유용하게 사용될 것으로 기대된다.