• Title/Summary/Keyword: severity estimation

Search Result 148, Processing Time 0.031 seconds

The Pyramid of Injury: Estimation of the Scale of Adolescent Injuries According to Severity

  • Han, Hyejin;Park, Bomi;Park, Bohyun;Park, Namsoo;Park, Ju Ok;Ahn, Ki Ok;Tak, Yang Ju;Lee, Hye Ah;Park, Hyesook
    • Journal of Preventive Medicine and Public Health
    • /
    • v.51 no.3
    • /
    • pp.163-168
    • /
    • 2018
  • Objectives: Due to their developmental characteristics, adolescents have a higher probability than other age groups of experiencing injuries caused by accidents, violence, and intentional self-harm. The severity and characteristics of injuries vary by the intentionality and mechanism of injury; therefore, there is a need for a national-level estimate of the scale and the severity of injuries in adolescents that takes these factors into account. Methods: By using data from the Emergency Department-based Injury In-depth Surveillance Data, National Emergency Department Information System, the Korean National Hospital Discharge In-depth Injury Survey, and cause of death statistics, we calculated the emergency department (ED) visit rate, hospitalization rate, and death rate of injuries per 100 000 adolescents for each injury mechanism. The calculated rates were used to generate the injury pyramid ratio (ratio of death rate to hospitalization rate to ED visit rate) to visualize the scale and the severity of the injury. Results: The mortality rate in adolescents due to injury was 10/100 000; the corresponding rates for hospitalization and ED visits were 1623 and 4923, respectively, resulting in an injury pyramid ratio with the general pyramid form, with a 1:162:492 ratio of deaths to hospitalizations to ED visits. The mortality rate due to suicide/intentional self-harm was 5/100 000, while 35 were hospitalized for this reason and 74 made ED visits. The pyramid ratio of 1:7:15 for intentional self-harm/suicide showed a steep pyramidal form, indicating considerable lethality. The mortality rate due to motor vehicle collisions (MVCs) was 3/100 000; 586 were hospitalized for this reason, while 1023 made ED visits. The pyramid ratio of 1:195:341 for MVCs showed a gradual pyramid form, indicating that the lethality was low and the scale of injury was high. Conclusions: The main categories of injuries in adolescents were visualized in pyramid form, contributing to an understanding of the scale of each injury by mechanism in terms of levels of death, hospitalization, and ED visits. These findings will be helpful for understanding how to prioritize injuries in adolescents.

RADIATION DAMAGE IN THE HUMAN BODY ACUTE RADIATION SYNDROME AND MULTIPLE ORGAN FAILURE

  • AKASHI, MAKOTO;TAMURA, TAIJI;TOMINAGA, TAKAKO;ABE, KENICHI;HACHIYA, MISAO;NAKAYAMA, FUMIAKI
    • Nuclear Engineering and Technology
    • /
    • v.38 no.3
    • /
    • pp.231-238
    • /
    • 2006
  • Whole-body exposure to high-dose radiation causes injury involving multiple organs that depends on their sensitivity to radiation. This acute radiation syndrome (ARS) is caused by a brief exposure of a major part of the body to radiation at a relatively high dose rate. ARS is characterized by an initial prodromal stage, a latent symptom-free period, a critical or manifestation phase that usually takes one of four forms (three forms): hematologic, gastrointestinal, or cardiovascular and neurological (neurovascular), depending upon the exposure dose, and a recovery phase or death. One of the most important factors in treating victims exposed to radiation is the estimation of the exposure dose. When high-dose exposure is considered, initial dose estimation must be performed in order to make strategy decisions for treatment as soon as possible. Dose estimation can be based on onset and severity of prodromal symptoms, decline in absolute lymphocyte count post exposure, and chromosomal analysis of peripheral blood lymphocytes. Moreover, dose assessment on the basis of calculation from reconstruction of the radiation event may be required. Experience of a criticality accident occurring in 1999 at Tokai-mura, Japan, showed that ARS led to multiple organ failure (MOF). This article will review ARS and discuss the possible mechanisms of MOF developing from ARS.

Identification of Age Threshold for Driving Performance (운전능력에 연관된 인적특성의 연령 임계점 연구)

  • Kim, Tae-Ho;Ko, Joon-Ho;Won, Jai-Mu;Hu, Ec
    • Journal of the Korean Society of Safety
    • /
    • v.23 no.3
    • /
    • pp.71-78
    • /
    • 2008
  • This study aims to identity the age group where driving performance significantly decreases based on the data collected from the Korea Transportation Safety Authority's driver aptitude tests in 2006. The test includes following six driving simulator-based tests: estimation of moving objects' speed, estimation of stopping distance, three tests for drivers' multi-task ability, and kinetic depth perception. These six test results were utilized for the identification of the age threshold applying the CART technique, suggesting driving ability significantly be decreased over 50s. This finding was confirmed by two analyses using the accident history data containing the information of accident and non-accident drivers and the degree of accident severity. The results of this study imply that accident prevention efforts should be enhanced over a wider range of age group than the current practice where the age of 65 is generally applied for the threshold dividing senior and non-senior driver groups.

Qualitative Assessment for Hazard on the Electric Power Installations of a Construction Field using FMEA (FMEA를 이용한 건설현장 전력설비의 위험성에 대한 정성적 평가)

  • Kim Doo-hyun;Lee Jong-ho
    • Journal of the Korean Society of Safety
    • /
    • v.19 no.4 s.68
    • /
    • pp.36-41
    • /
    • 2004
  • This paper presents an qualitative assessment for hazard on the electric power installations of a construction field using FMEL The power installations have the mission to maintain the highest level of service reliability on the works. The more capital the electric power invest the higher service reliability they plausibly will achieve. However, because of limited resources, how effectively budgets can be allocated to achieve service reliability as high as possible. The assessment typically generates recommendations for increasing component reliability, thus improving the power installation safety. The FMEA tabulates the failure modes of components and how their failure affects the power installations being considered. Tn order to estimate the risks of a failures, the FMEA presents criticality estimation or risk priority number using the severity, occurrence, and detectability. The results showed that the highest components of the risk priority number among components were condenser, transformer, MCCB and LA. And In case of the criticality estimation, the potential failure modes were abnormal temperature rise, insulation oil leakage, deterioration for the transformer, overcurrent for the MCCB and operation outage fir the LA.

A Study on Risk Frequency Estimation of Runway End Safety Area (활주로종단안전구역의 위험빈도 추정 연구)

  • Kim, Do-Hyeon;Sheen, Dong-Jin
    • Journal of the Korean Society for Aviation and Aeronautics
    • /
    • v.18 no.3
    • /
    • pp.34-41
    • /
    • 2010
  • 'Aviation Safety' is the state in which the risk of harm to persons or of property damage is reduced to, and maintained at or below, an acceptable level through a continuing process of hazard identification and risk management in the aviation field. 'Risk' is the assessed potential for adverse consequences resulting from a hazard and 'Risk assessment' involves consideration of both the frequency and the severity of any adverse consequence. This study focused on the risk frequency about a case airport which does not meet the 'Runway end safety area' requirement of ICAO SARPs and Korea standards and used 'RSA risk model' for estimating the risk frequency. As results of this study, risk frequency of the runway end safety areas in the case airport is higher than that of 'Runway end safety area' requirement of ICAO SARPs and Korea standards, which means that alternatives for risk frequency mitigation to a level as low as reasonably practicable is required in the case airport. The optimum solution analysed from this study is to impose restriction of aircraft operation when the runway condition is poor(icing condition) and also it snows in the case airport.

Computation of Actual Evapotranspiration using Drone-based Remotely Sensed Information: Preliminary Test for a Drought Index (드론 원격정보를 활용한 실제증발산량의 산정: 가뭄지수를 위한 사전테스트)

  • Lee, Geun-Sang;Kim, Sung-Wook;Hamm, Se-Yeong;Lee, Khil-Ha
    • Journal of Environmental Science International
    • /
    • v.25 no.12
    • /
    • pp.1653-1660
    • /
    • 2016
  • Drought is a reoccurring worldwide natural hazard that affects not only food production but also economics, health, and infrastructure. Drought monitoring is usually performed with precipitation-based indices without consideration of the actual state and amount of the land surface properties. A drought index based on the actual evapotranspiration can overcome these shortcomings. The severity of a drought can be quantified by making a spatial map. The procedure for estimating actual evapotranspiration is costly and complicated, and requires land surface information. The possibility of utilizing drone-driven remotely sensed data for actual evapotranspiration estimation was analyzed in this study. A drone collected data was used to calculate the normalized difference vegetation index (NDVI) and soil-adjusted vegetation index (SAVI). The spatial resolution was 10 m with a grid of $404{\times}395$. The collected data were applied and parameterized to an actual evapotranspiration estimation. The result shows that drone-based data is useful for estimating actual evapotranspiration and the corresponding drought indices.

Estimation of Rain-Attenuation for Millimeter-Wave Propagation in Domestic Environments (국내환경에 적합한 밀리미터파대역에서의 강우감쇄 추정)

  • 조삼모;김양수;백정기;이성수;김혁제
    • The Journal of Korean Institute of Communications and Information Sciences
    • /
    • v.23 no.7
    • /
    • pp.1755-1763
    • /
    • 1998
  • The rain attenuatio of a radio channel above 10 GHz can have impact on the availability of the radio channel. The severity of the rain impairments increases with frequency and varies with regional location. This paper presents an estimation method for rain attenuation for millimeter-wave propagation in domestic environments. the dropsize distribution is assumed to be exponential, and the measurement data in the various countries which are simlar to the domestic environments are compared with the theoretical one by varying the dropsize distribution. A rain-rate conversion model which can convert .tau.-minutes rain-rate data to 1-minute rain-rate data for domestic environments is also discussed. Using the converted domestic rain-rate data, probabilty distributions of rain attenuation are computed.

  • PDF

The Change of Pain in Tonsillar Disease Estimated by DITI (적외선 촬영으로 측정한 편도질환에서의 통증변화)

  • 임대준;김동욱;강성호;김보형;이근수
    • Korean Journal of Bronchoesophagology
    • /
    • v.6 no.2
    • /
    • pp.152-158
    • /
    • 2000
  • Backgroud and Objectives: Because the pain is subjective in human, we frequently need the objective tool for estimation of pain. The Visual Analog Scale (VAS) is a method for pain grading, but it is also a subjective method. The purpose of this study is to seek an objective method for measurement of pain. Author suggests that the estimation of local body temperature may be associated with the severity of pain in tonsillar disease and the change of it measured by Digital Infrared Thermographic Imaging (DITI), may also be correlated with the change of pain. Materials and Method : Four groups were selected and measured for VAS and body temperature in DITI. Group A and B were post-tonsillectomy groups divided by age. Group C was acute tonsillitis group. Group D was peritonsillar abscess group. Results : In Group A and B, the subjective VAS was significantly correlated with objective local body temperature (correlation coefficient r=0.673, 0.647) and significant correlation was also present in acute tonsillitis and peritonsillar abscess groups(r=0.596,0.642). Conclusion : The change of pain was strongly associated with that of local body temperature in tonsillar disease. DITI is a useful method for objective grading of pain and can be used for the study of postoperatve pain and effectiveness of pain control.

  • PDF

Estimation of Injury Severity of Occupant based on the Vehicle Deformation at Frontal Crash Accident (자동차 정면충돌에서 자동차 영구 변형량에 따른 승객 상해 추정)

  • Kim, Seungki;Choi, Hyung Yun
    • Transactions of the Korean Society of Automotive Engineers
    • /
    • v.21 no.2
    • /
    • pp.63-71
    • /
    • 2013
  • The estimation of occupant injury risk at crash accident is one of the most important assessments for the vehicle crashworthiness performance. The design of safety devices such as occupant restraining system also depend on the kinematics of occupant and its injury risk. The real world in-depth accident investigation provides detailed and realistic information of vehicle damage and occupant injury as well as the accident conditions. This paper introduces a statistical analysis of NASS/CDS database and domestic accident data to correlate speed change, vehicle damage extend, and occupant injury at frontal crash. The maximum crush extend shows a linear relationship with the effective impact speed. The injury risks of the occupant with and without restraining were also respectively quantified with the crush extend. This result can be effectively used for the emergent rescue of crash victims with automatic crash notification system.

Earthquake Loss Estimation Including Regional Characteristics (지역특성을 반영한 지진손실평가)

  • Kim, Joon-Hyung;Hong, Yun-Su;Yu, Eunjong
    • Journal of the Earthquake Engineering Society of Korea
    • /
    • v.27 no.6
    • /
    • pp.311-320
    • /
    • 2023
  • When an earthquake occurs, the severity of damage is determined by natural factors such as the magnitude of the earthquake, the epicenter distance, soil properties, and type of the structures in the affected area, as well as the socio-economic factors such as the population, disaster prevention measures, and economic power of the community. This study evaluated the direct economic loss due to building damage and the community's recovery ability. Building damage was estimated using fragility functions due to the design earthquake by the seismic design code. The usage of the building was determined from the information in the building registrar. Direct economic loss was evaluated using the standard unit price and estimated building damage. The standard unit price was obtained from the Korean Real Estate Board. The community's recovery capacity was calculated using nine indicators selected from regional statistical data. After appropriate normalization and factor analysis, the recovery ability score was calculated through relative evaluation with neighboring cities.