• Title/Summary/Keyword: 사망위해성

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The Surgical Management of Hypoplastic Left Heart Syndrome and the Results of a Fontan Operation (좌심형성부전증후군의 외과적 치료 및 폰탄수술의 결과)

  • Chung, Eui Suk;Kim, Woong-Han;Jeon, Jae-Hyun;Choi, Chang-Hyu;Lee, Chang-Ha;Lee, Young-Tak
    • Journal of Chest Surgery
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    • v.42 no.1
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    • pp.9-13
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    • 2009
  • Background: Hypoplastic left heart syndrome is uniformly fatal if this condition is not properly treated. We reviewed the surgical results of treating hypoplastic left heart syndrome, and we evaluated the hemodynamics and functional status of these patients after they underwent a Fontan operation. Material and Method: To assess the surgical results, we retrospectively reviewed the medical records of 6 (M/F=4/2) patients who underwent a staged operation, including a Norwood procedure, a bidirectional Glenn procedure and a Fontan procedure between October 1997 to May 2005. The mean age of the patients was $17.3{\pm}10.8$ days (range: 9~36 days) at the $1^{st}$ staged operation, $8.9{\pm}7.1$ months (4.6~23.3 months) at the $2^{nd}$ staged operation (the Bidirectional Glenn procedure) and $32.4{\pm}9.8$ months at the final staged operation (the Fontan procedure). During the $2^{nd}$ staged operation, one of the patients received tricuspid valve repair due to regurgitation. All the patients underwent an extracardiac Fontan procedure using Gore-Tex conduit (20 mm: 2 patients, 18 mm: 4 patients) and one of them required fenestration. Result: 21 patients underwented a Norwood procedure. There were 7 early deaths and 4 interstage deaths. Bidirectional cavopulmonary shunt was performed in 10 patients and the Fontan procedure was done in 6 (mortality: 1 patient, Flow up loss: 1 patient, Awaiting a Fontan procedure: 2 patients). After the Fontan procedure, there was no complication except for one case of post operative bleedings. All the patients had good ventricular function and 2 had grade I tricuspid regurgitation, as noted on their echocardiography. The average follow up period after the Fontan procedure was $19.6{\pm}14.9$ months (range: 1.5~39.1 month). All the patients had normal sinus rhythm and they were put on aspirin and cardiac medication. During follow up period, all the patients had a good functional status (NYHA functional class I). Conclusion: All the patients who suffered with hypoplastic left heart syndrome and who underwent a Fontan procedure achieved a good hemodynamic and functional status, even though there was a relatively high operative mortality rate after stage I Norwood palliation. Therefore, thise staged operation should be strongly recommended as an important surgical strategy for treating hypoplastic left heart syndrome.

Socio-Economic Factors Affecting the Health and Nutritional Status of the Aged (노인의 건강과 영양상태에 영향을 미치는 사회경제적 요인분석)

  • 김숙희;강혜경;김주현
    • Journal of Nutrition and Health
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    • v.33 no.1
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    • pp.86-101
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    • 2000
  • Various kinds of living circumstances are making population structure of Korean changed. That is, number of the children is decreased and that of the aged is increased. It is predicted that population of the children and the aged will be almost same until 2020. With above, as the expectation of the aged on healthy living might be increased, some special programs for the aged will be needed strongly. At this point, Korean aged population might be economically poor, comparing with other generation. In general, economic factor affects the subjective living-satisfaction and health status of them. Moreover, educational status, household shape and family tieing also affect their health status. According to the foreign articles, health status of the aged might be related to income, educational status, job, employed or/not, marital status, family structure, sex, and childhood condition. decrease of the income or unemployment could make the death rate of the aged higher. During childhood, discordance among the family might affect their health status after. IGUR is also important factor to affect the adulthood health. Positive life style of the aged would lessen their unequality of the health among them. Nutritional status of the Korean aged population might be indicated under the nutritional recommendation. It is affected by their income, education level, social class, and residing place. (Korean J Nutrition 33(1) : 86-101, 2000)

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Study on Predictable Program of Fire.Explosion Accident Using Poisson Distribution Function & Societal Risk Criteria in City Gas (Poisson분포를 이용한 도시가스 화재 폭발사고의 발생 예측프로그램 및 사회적 위험기준에 관한 연구)

  • Ko, Jae-Sun;Kim, Hyo;Lee, Su-Kyoung
    • Fire Science and Engineering
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    • v.20 no.1 s.61
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    • pp.6-14
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    • 2006
  • The data of city gas accidents has been collected and analysed for not only predictions of the fire and explosion accidents but also the criteria of societal risk. The accidents of the recent 11 years have been broken up into such 3 groups roughly as "release", "explosion", "fire" d 16 groups in detail. Owing to the Poisson probability distribution functions, 'careless work-explosion-pipeline' and 'joint loosening & erosion-release-pipeline' items respectively have turned out to record the lowest and most frequency among the recent 11-years accidents. And thus the proper counteractions must be carried out. In order to assess the societal risks tendency of the fatal gas accidents and set the more obvious safety policies up, the D. O. Hogon equation and the regression method has been used to range the acceptable range in the F-N curve of the cumulative casualties. The further works requires setting up successive database on the fire and explosion accidents systematically to obtain reliable analyses. Also the standard codification will be demanded.

Determinants of Utilization of Postnatal Care in Kapchorwa District, Eastern Uganda (산후건강관리서비스 이용의 결정요인에 관한 연구 -우간다 동부 카프초르와 구를 중심으로-)

  • Chelangat, Irene Kapsawani;Jin, Ki-Nam;Kim, Sunmi;Um, Tae Rim;Kim, Jinjoo
    • The Journal of Korean Society for School & Community Health Education
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    • v.16 no.1
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    • pp.51-63
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    • 2015
  • 목적: 사하라 이남 아프리카 지역 중저소득국가 모성보건지표의 더딘 개선율은 MDG 5(모자보건향상) 미달성의 주요 원인 중 하나로 꼽힌다. 따라서 본 연구는 우간다 동부 카프초르와 구의 모성사망과 밀접한 산후건강관리(PNC, Postnatal care)서비스 이용결정요인을 파악하는데 있다. 이를 통해 지역건강관리자들에게 PNC 서비스 이용 개선을 위한 정책 수립 및 방안 마련에 기초자료를 제공하고, 궁극적으로는 MDG 5 지표 개선에 일조하고자 한다. 방법: 표본 집단은 카프초르와 구의 15세~49세 여성들 중 최근 1년 내에 출산을 경험한 자들을 대상으로 편의추출 되었다. 조사기간은 2014년 7월부터 10월까지였으며, 구조화된 설문에 총 171명이 응답하였고, 19명의 주요 정보제공자와의 심층면담도 실시하였다. 응답자의 사회인구학적 특성 및 PNC 이용행태를 알아보기 위해 빈도분석을 실시하였으며, 각 독립변수가 PNC 이용에 어떤 영향을 미치는지 파악하기 위해 로지스틱 회귀분석을 실시하였다. 결과: 응답자의 55%만이 의료시설의 PNC 서비스를 받은 것으로 나타났다. 로지스틱 회귀분석을 통해서는 응답자의 연령과 사회적 네트워크, 인지된 건강상태, 산전관리서비스 이용이 PNC 서비스 이용에 긍정적인 영향을 미치는 것으로 나타났으며 의료시설과의 거리, 가족의 규모는 부정적인 영향을 미치는 것으로 나타났다. 결론: PNC 서비스 이용개선을 위해서는 먼저 여성의 사회적 자본 확충 및 개선을 위한 모성보건교육인 소프트 인프라 지원이 지자체 차원에서 실시되어야 할 것이며, 서비스 이용을 가능케 하고 접근성을 높이는 응급후송체계 구축과 같은 물리적 인프라 지원도 도입되어야할 것이다. 또한 가족계획 서비스를 제공하는 등 모성보건관리에 대한 지자체의 민감성을 높이는 것도 필요하겠다.

Occupational Health and Safety Risk Assessment Checklist for Preventing Accidents During Building Design Phase (재해예방을 위한 건축공사 설계단계 안전 위험성 평가 체크리스트)

  • Han, Byoung-Soo;Park, Chan-Sik;Hong, Sung-Ho
    • Korean Journal of Construction Engineering and Management
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    • v.8 no.2
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    • pp.68-74
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    • 2007
  • It has been recognized that safety management is activated during the construction phase to prevent accidents and fatalities of workers. However, It is revealed that about 15% of fatal death accidents is caused by the lack of management of planning and design phases. There is a crucial need of assessing safety risk during building design phase. This paper is aimed to develop a safety risk assessment checklist that can be used during building design phase, utilizing the concept of Design for Safety. In doing so, a broad literature survey on safety management of building Process, various safety risk assessment toolboxes being utilized in the HSE and the BAA of UK. The proposed checklist contains the followings: 1) classification structure for safety design on space, element, and trade work 2) hazard risk factor, probability and degree of intensity of accident occurrence, and 3) safety assessment criteria. It is expected that the checklist would be an effective tool of preventing and minimizing fatal accidents of building construction projects.

A Study of the Analysis on the Accident Reduction Effect of the Median (중앙분리대의 사고감소효과 분석에 관한 연구)

  • 김경석;강승림
    • Journal of Korean Society of Transportation
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    • v.21 no.2
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    • pp.45-60
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    • 2003
  • A median is a safety feature most commonly used to separate opposing traffic on a divided highway. In designing highways, the selection and installation of a median can be a critical part from a safety viewpoint because road crossing accidents are definitely more serious than other accidents. In regard to the important function of the median. the proper countermeasure ought to have been provided and thorough study should have been carried out. In this paper, traffic accident data are analyzed to examine the accident reduction effect of the median, which are gathered from all over 4-lane national roads in Korea. The traffic accident data were categorized into two groups by the existence of a median. For more effective analysis, the data have been classified by accident type, severity. and occurrence time. To compare the effectiveness of median installation, not only the accident frequency but also the accident severity, EPDO. and the occupancy rate of specific accidents have been used as a mode of effectiveness. The analysis of the effectiveness of medians shows that both the accident frequency and the accident severity could decrease by providing a median. Also the section where a median was supplied showed the improvement of overall safety through fewer serious and fatal crashes as well as fewer head-on crashes. Therefore, conclusions can be drawn from results of this study that the median installation is an important means to increase the safety of over 4-lane national roads. This study is expected to provide the reasonability of the median installation by identifying the reduction of traffic accident after the median installation and to play a major role in selecting sections where the median is to be offered.

Impacts of Sociocultural Factors on Smoking among Disabled People (장애인의 흡연에 영향을 미치는 요인분석)

  • Young-Ran Yeun;Dong-il Chun;Yi Sub Kwak;Hye-Young Kim
    • Journal of Life Science
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    • v.33 no.12
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    • pp.1046-1051
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    • 2023
  • Cigarette smoking is one of the major causes of preventable diseases, disability, and death in Korea and worldwide. It has been clearly linked to the most common causes of death among the elderly and contributes to morbidity and disability associated with many chronic illnesses that are common in this age group. The health benefits of smoking cessation for the elderly have been clearly demonstrated. However, few studies have analyzed the relationship between health and smoking by considering the following many factors, especially among disabled people. In this study, we discuss the impacts of many factors on smoking among disabled people. Adults with disabilities are more likely to smoke than their peers. Public health agencies and practitioners should consider what reasonable adjustments may need to be made to policies and interventions to ensure that they are effective for adults with disabilities.

Agent-Based COVID-19 Simulation Considering Dynamic Movement: Changes of Infections According to Detect Levels (동적 움직임 변화를 반영한 에이전트 기반 코로나-19 시뮬레이션: 접촉자 발견 수준에 따른 감염 변화)

  • Lee, Jongsung
    • Journal of the Korea Society for Simulation
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    • v.30 no.1
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    • pp.43-54
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    • 2021
  • Since COVID-19 (Severe acute respiratory syndrome coronavirus type 2, SARS-Cov-2) was first discovered at the end of 2019, it has spread rapidly around the world. This study introduces an agent-based simulation model representing COVID-19 spread in South Korea to investigate the effect of detect level (contact tracing) on the virus spread. To develop the model, related data are aggregated and probability distributions are inferred based on the data. The entire process of infection, quarantine, recovery, and death is schematically described and the interaction of people is modeled based on the traffic data. A composite logistic functions are utilized to represent the compliance of people to the government move control such as social distancing. To demonstrate to effect of detect level on the virus spread, detect level is changed from 0% to 100%. The results indicate active contact tracing inhibits the virus spread and the inhibitory effect increases geometrically as the detect level increases.

A Study On The Classification Of Driver's Sleep State While Driving Through BCG Signal Optimization (BCG 신호 최적화를 통한 주행중 운전자 수면 상태 분류에 관한 연구)

  • Park, Jin Su;Jeong, Ji Seong;Yang, Chul Seung;Lee, Jeong Gi
    • The Journal of the Convergence on Culture Technology
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    • v.8 no.6
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    • pp.905-910
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    • 2022
  • Drowsy driving requires a lot of social attention because it increases the incidence of traffic accidents and leads to fatal accidents. The number of accidents caused by drowsy driving is increasing every year. Therefore, in order to solve this problem all over the world, research for measuring various biosignals is being conducted. Among them, this paper focuses on non-contact biosignal analysis. Various noises such as engine, tire, and body vibrations are generated in a running vehicle. To measure the driver's heart rate and respiration rate in a driving vehicle with a piezoelectric sensor, a sensor plate that can cushion vehicle vibrations was designed and noise generated from the vehicle was reduced. In addition, we developed a system for classifying whether the driver is sleeping or not by extracting the model using the CNN-LSTM ensemble learning technique based on the signal of the piezoelectric sensor. In order to learn the sleep state, the subject's biosignals were acquired every 30 seconds, and 797 pieces of data were comparatively analyzed.

A Study on the Development Prospects of Building Construction Productivity through Construction Status Analysis (건설업 실태분석을 통한 건설업생산성의 발전전망에 관한 연구)

  • Park, Hong Tae;Jeon, Jun Tai;Lee, Yang Kyu
    • Journal of the Society of Disaster Information
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    • v.8 no.3
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    • pp.242-257
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    • 2012
  • Korea's population change trend is the aging and feminization as Reduction in mortality, average life extension. and is further increased Reduction of birth rate and aging population. if Our country concluded FTA(Free Trade Agreement) with the United States, Europe and China etc. labor-intensive industries will be the decline. Then, the construction workers' jobs are continually reduced. This is critical to the nation's economic, social and environmental influences due to Shortage of construction workforce and increasing labor costs. Eventually this is a major factor in reduced construction productivity. Therefore, this study is presented as a construction productivity development prospects on the value-added analysis per Labour productivity employee from Construction market trends, industry-specific productivity index, industry trends Employed, age tiered workforce trends, women's workforce trends, labor time trend, foreign workers, workforce trends, analysis of trends in construction contract, awarded by Company Size trends, construction management analysis index.